AMICIA BULLARD (PA-C) – Physician Assistant, NPI 1568549723
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMICIA BULLARD (PA-C)
777 MURPHY RD
MEDFORD, OR 975048425
Phone: (541) 772-2763
Type: Location
29756 SW TOWN CENTER LOOP W STE L
WILSONVILLE, OR 970706633
Phone: (503) 685-9165
Type: Location
13765, Cameo Court, Forest Highlands, Lake Oswego, Clackamas County, Oregon, 97034, United States
LAKE OSWEGO, OR 970342128
Phone: (503) 317-4938
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Novo Nordisk Inc ($93).
Total Amount
$155
General + Research + Ownership
Payments
8
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $93 |
| Exact Sciences Corporation | $45 |
| PFIZER INC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051027000472 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 101 | 38 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 87 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 30 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 26 | $0 |
Insurance plans in this area (ZIP 97504)
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