Active NPI 1598717985 Individual Practitioner Male Practitioner

Dr. Michael J. Tullis , MD

Surgery - Vascular Surgery • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tullis, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Meridian, ID. Practice services are available at 3875 E OVERLAND RD STE 2D under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3875 E Overland Rd Ste 2d

Meridian, ID 836429005

Telephone 2086001550

Fax 2086001551

Associated Practice Facility / Clinic

🏢 Superior Vein Care, Pllp Facility NPI 1609346303

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Meridian, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Meridian, ID (31 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$192.00	$103.05
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	41	$212.00	$108.91
93970 Ultrasound study of arm or leg veins with compression and maneuvers	38	38	$346.00	$171.84
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	28	25	$4696.00	$980.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$78.00	$50.06
37766 Multiple incisions for removal of varicose veins of arm or leg	19	16	$2149.00	$243.82
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	14	13	$1807.00	$223.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$192.00	$103.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	49	39	$212.00	$111.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	48	48	$346.00	$172.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$78.00	$52.08
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	22	17	$4696.00	$1128.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$192.00	$100.55
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	24	$212.00	$112.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	30	30	$346.00	$180.46
37766 Multiple incisions for removal of varicose veins of arm or leg	29	22	$2149.00	$320.43
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	27	24	$4696.00	$1236.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$78.00	$42.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$192.00	$102.06
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	23	$207.97	$105.71
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$298.50	$156.05
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	16	13	$4696.00	$1321.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$163.00	$72.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$163.00	$72.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	49	36	$40.00	$21.45
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	40	$61.00	$32.94
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	30	23	$838.00	$144.88
37766 Multiple incisions for removal of varicose veins of arm or leg	21	17	$1325.00	$514.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$151.81	$72.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	32	$40.00	$20.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	36	36	$61.00	$32.51
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	23	19	$838.00	$160.32

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License ID M-7939

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

288349 (OR)

Medicaid State Provider ID

805714900 (ID)

Commercial Insurance / Payer ID Blue Shield

000010028313 (ID)

Commercial Insurance / Payer ID Blue Cross

J3938 (ID)

Commercial Insurance / Payer ID Rrmc

770002414 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Mark Macumber , MD

Phlebology

NPI 1598805830

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 09, 2019

Registered at 3875 E OVERLAND RD STE 2D, MERIDIAN, ID 836429005 (Tel: 2086001550)

📍

Updated Business Mailing Address October 09, 2019

Registered at 3875 E OVERLAND RD STE 2D, MERIDIAN, ID 836429005 (Tel: 2086001550)

✅

NPI Profile Active December 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2012

Registered at 333 N 1ST ST, SUITE 280, BOISE, ID 837026100 (Tel: 2083456545)

📍

Updated Business Mailing Address December 29, 2012

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812222)

👤

Provider Name / Credentials Updated December 29, 2012

Recorded as MICHAEL TULLIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2012

Surgery (License #M-7939 in ID)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598717985

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: October 09, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3875 E Overland Rd Ste 2d

Meridian, ID 836429005

Phone: 2086001550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.