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Active NPI 1720765969 Individual Practitioner Male Practitioner

Brenden G Tully , PA

Physician Assistant • Ashtabula, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brenden Tully, PA is a certified Physician Assistant practicing in Ashtabula, OH. With approximately 3 years of clinical experience since completing medical education in 2023, Brenden Tully delivers high-quality medical care to the local community at 2420 LAKE AVE.

Brenden Tully maintains professional affiliations with Bloomington Medical Services Llc, Wrh Physicians, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include drainage of fluid from abdominal cavity using imaging guidance, removal of central venous catheter for infusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2420 Lake Ave

Ashtabula, OH 440044954

Telephone 4409972262
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ashtabula, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -4.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Ashtabula, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tully (3 Years) 3 Yrs
Ashtabula Specialty Average (7.3 Years) 7.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance
27 15 $836.37 $84.72
36589 Removal of central venous catheter for infusion
18 18 $969.00 $107.14

Medical Specialties & State Licenses

CMS Verified: 2023-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.008422RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Bloomington Medical Services Llc

1761 Beall Ave, Wooster, OH 446912342

Wrh Physicians, Inc

1900 23rd St, Cuyahoga Falls, OH 442231404

Practice Associates & Co-Workers

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

31 Associated Practitioners
Helen Lee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003801192

Certified Registered Nurse Anesthetist

Dr. Apollo Rivera , MD

Personal Emergency Response Attendant

NPI 1003823493

Doctor of Medicine (M.D.)

NPI 1063407245

Doctor of Medicine (M.D.)

Dr. Michael St. Marie , MD

Emergency Medicine

NPI 1114974219

Doctor of Medicine (M.D.)

NPI 1184619678

Doctor of Medicine (M.D.)

Amy Pohl , RN

Registered Nurse

NPI 1245163765

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated October 10, 2023

Recorded as BRENDEN TULLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2023

Physician Assistant (License #50.008422RX in OH)

NPI Profile Active June 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2023

Registered at 2420 LAKE AVE, ASHTABULA, OH 440044954 (Tel: 4409972262)

📍
Updated Business Mailing Address June 29, 2023

Registered at 411 CASTLE ROCK RD, BROOKFIELD, OH 444038603 (Tel: 3304137913)

👤
Provider Name / Credentials Updated June 29, 2023

Recorded as BRENDEN TULLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 29, 2023

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: 1720765969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2023
Last Update: October 10, 2023
Sole Proprietor: Yes

Mailing Address

411 Castle Rock Rd

Brookfield, OH 444038603

Phone: 3304137913

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.