Active NPI 1992964563 Individual Practitioner Male Practitioner

John Patrick Tully , PA-C

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Tully, PA-C is a certified Physician Assistant practicing in Bend, OR. With approximately 27 years of clinical experience since completing medical education in 1999, John Tully delivers high-quality medical care to the local community at 61250 SE COOMBS PL.

John Tully maintains professional affiliations with St Charles Health System Inc, Bend Memorial Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, screening digital tomography of both breasts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

61250 Se Coombs Pl

Bend, OR 977023704

Telephone 5417065930

Fax 5417065931

Associated Practice Facility / Clinic

🏢 St. Charles Health System, Inc. Facility NPI 1578422622

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +14.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate

29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tully (27 Years) 27 Yrs

Bend Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8,835	80	$0.34	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	285	278	$258.58	$76.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	166	$381.11	$107.30
77063 Screening digital tomography of both breasts	131	131	$84.27	$23.98
77067 Screening mammography	131	131	$330.10	$92.12
71046 X-ray of chest, 2 views	89	88	$68.75	$23.01
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	61	61	$80.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$377.24	$93.02
81003 Automated urinalysis test	55	54	$6.00	$2.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	54	54	$116.00	$50.28
71250 Ct scan of chest without contrast	43	43	$338.35	$83.14
73562 X-ray of knee, 3 views	33	30	$93.36	$31.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$578.48	$139.85
73630 X-ray of foot, minimum of 3 views	31	27	$75.84	$25.97
74178 Ct scan of abdomen and pelvis before and after contrast	29	27	$867.07	$246.12
73030 X-ray of shoulder, minimum of 2 views	28	24	$69.25	$25.71
74177 Ct scan of abdomen and pelvis with contrast	27	27	$759.15	$224.63
76770 Complete ultrasound scan behind abdominal cavity	25	25	$255.00	$70.19
73130 X-ray of hand, minimum of 3 views	24	16	$83.33	$28.80
71260 Ct scan of chest with contrast	24	24	$449.29	$72.51
36415 Insertion of needle into vein for collection of blood sample	24	24	$30.00	$8.65
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$84.52	$29.01
82565 Blood creatinine level	19	19	$13.00	$4.82
76536 Ultrasound of head and neck	18	17	$287.33	$83.41
76700 Ultrasound of abdomen	18	17	$270.56	$77.81
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$216.00	$93.88
74176 Ct scan of abdomen and pelvis without contrast	16	16	$383.75	$105.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$20.00	$7.61
69209 Removal of impacted ear wax by washing	15	15	$58.80	$13.42
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$389.00	$94.24
76705 Limited ultrasound scan of abdomen	14	14	$206.00	$59.34
73502 X-ray of hip, 2-3 views	13	13	$106.08	$36.57
76857 Limited ultrasound scan of pelvis	13	13	$78.46	$24.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$508.23	$151.34
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	13	13	$80.00	$19.28
81001 Manual urinalysis test with examination using microscope, automated	12	12	$8.00	$3.11
71101 X-ray of ribs on side of body, minimum of 3 views	12	12	$87.25	$29.37
71271 Low dose ct scan of chest for lung cancer screening	12	12	$472.00	$90.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$38.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,525	34	$0.37	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	264	257	$239.00	$73.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	187	$351.00	$104.06
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	71	71	$80.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$348.00	$91.37
71046 X-ray of chest, 2 views	68	68	$66.00	$22.48
J0696 Injection, ceftriaxone sodium, per 250 mg	62	15	$2.00	$0.52
81003 Automated urinalysis test	58	58	$6.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$530.00	$135.63
73630 X-ray of foot, minimum of 3 views	41	34	$73.00	$25.35
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	39	39	$200.00	$73.50
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	38	38	$50.00	$24.50
77067 Screening mammography	37	37	$313.00	$88.74
77063 Screening digital tomography of both breasts	37	37	$80.00	$23.10
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	36	36	$116.00	$50.28
71250 Ct scan of chest without contrast	29	29	$319.00	$77.90
36415 Insertion of needle into vein for collection of blood sample	24	24	$10.83	$7.12
87502 Detection test by nucleic acid for multiple types influenza virus	22	22	$216.00	$93.88
76770 Complete ultrasound scan behind abdominal cavity	20	20	$242.00	$68.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	18	$54.00	$11.60
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$20.00	$7.61
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$81.00	$28.23
69209 Removal of impacted ear wax by washing	16	16	$62.78	$11.76
81015 Urinalysis using microscope	15	15	$8.00	$2.99
73502 X-ray of hip, 2-3 views	15	13	$101.00	$35.09
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$38.00	$16.20
73030 X-ray of shoulder, minimum of 2 views	14	13	$66.00	$24.72
76700 Ultrasound of abdomen	14	13	$259.00	$76.30
80048 Blood test, basic group of blood chemicals (calcium, total)	13	13	$22.00	$8.29
76536 Ultrasound of head and neck	13	13	$278.00	$81.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$470.00	$146.21
74176 Ct scan of abdomen and pelvis without contrast	12	12	$359.00	$103.14
74177 Ct scan of abdomen and pelvis with contrast	11	11	$724.00	$214.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	299	$239.00	$73.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	202	$351.00	$104.96
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	117	113	$80.00	$34.96
J0696 Injection, ceftriaxone sodium, per 250 mg	100	24	$2.00	$0.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$348.00	$90.54
81003 Automated urinalysis test	58	57	$6.00	$2.22
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	53	53	$200.00	$73.56
36415 Insertion of needle into vein for collection of blood sample	51	51	$7.00	$2.97
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	47	47	$50.00	$24.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$530.00	$136.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	46	46	$20.00	$7.70
80048 Blood test, basic group of blood chemicals (calcium, total)	33	33	$22.00	$8.38
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	28	27	$116.00	$50.91
87502 Detection test by nucleic acid for multiple types influenza virus	26	26	$216.00	$94.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	24	$54.00	$11.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$470.00	$147.66
85379 Coagulation function measurement, d-dimer; quantitative	18	18	$26.00	$10.08
84484 Troponin (protein) analysis, quantitative	16	16	$29.00	$12.36
29125 Application of nonmoveable forearm to hand splint	11	11	$256.00	$52.68
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	11	11	$26.00	$13.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	258	$351.00	$105.71
99213 Established patient office or other outpatient visit, typically 15 minutes	186	184	$239.00	$75.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	124	123	$154.50	$51.31
J0696 Injection, ceftriaxone sodium, per 250 mg	71	18	$2.00	$0.53
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	69	68	$89.25	$35.33
81003 Automated urinalysis test	62	61	$6.00	$2.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$530.00	$138.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$348.00	$92.25
36415 Insertion of needle into vein for collection of blood sample	36	36	$7.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	33	33	$20.00	$7.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$470.00	$145.21
80048 Blood test, basic group of blood chemicals (calcium, total)	25	25	$22.00	$8.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	20	$54.00	$11.66
69209 Removal of impacted ear wax by washing	18	18	$62.61	$12.24
81015 Urinalysis using microscope	11	11	$8.00	$3.05
84484 Troponin (protein) analysis, quantitative	11	11	$29.00	$12.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	241	$351.00	$89.81
99213 Established patient office or other outpatient visit, typically 15 minutes	101	100	$239.00	$61.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$348.00	$89.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	41	41	$20.05	$7.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$145.00	$37.76
81003 Automated urinalysis test	30	30	$6.03	$2.24
36415 Insertion of needle into vein for collection of blood sample	28	28	$7.00	$3.00
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	22	$91.00	$35.33
80053 Blood test, comprehensive group of blood chemicals	20	20	$27.00	$10.49
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$246.00	$63.23
A4565 Slings	15	15	$10.00	$8.92
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$22.00	$8.42
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	14	14	$77.00	$33.62
90471 Administration of 1 vaccine	14	14	$56.29	$11.84
84484 Troponin (protein) analysis, quantitative	12	12	$29.00	$12.43
87502 Detection test by nucleic acid for multiple types influenza virus	12	12	$217.75	$94.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$530.00	$136.29
81015 Urinalysis using microscope	11	11	$8.00	$3.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	252	$350.97	$90.26
99213 Established patient office or other outpatient visit, typically 15 minutes	128	127	$239.00	$62.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$348.00	$90.91
81003 Automated urinalysis test	47	47	$6.94	$2.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	27	$22.00	$8.24
94640 Inhalation treatment for airway obstruction or sputum production	17	17	$58.00	$15.03
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	17	17	$0.43	$0.13
80053 Blood test, comprehensive group of blood chemicals	13	13	$29.92	$11.51
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$82.00	$32.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$529.92	$138.26
90471 Administration of 1 vaccine	13	13	$54.00	$14.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	97	$186.62	$62.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$331.10	$89.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$265.58	$88.24
81003 Automated urinalysis test	16	16	$9.15	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$141.76	$63.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$139.00	$87.49

Medical Specialties & State Licenses

CMS Verified: 2026-05-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR P175245

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 5008334-1206

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500696906 (OR)

Hospital & Practice Group Affiliations

St Charles Health System Inc

61250 Se Coombs Pl, Bend, OR 977023704

Phone: 5417065935

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Phone: 5413822811

Bend Memorial Clinic Pc

815 Sw Bond St, Bend, OR 977023593

Bend Memorial Clinic Pc

333 Nw Larch Ave, Redmond, OR 977561186

Phone: 5413824900

Secondary Practice Locations

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413824900

Practice Associates & Co-Workers

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

20 Associated Practitioners

Alicia Stearns , PA-C

Physician Assistant

NPI 1144853169

Physician Assistant (Certified)

Kacie Talcott , FNP

Nurse Practitioner - Family

NPI 1154707669

Family Nurse Practitioner

Kevin Dombey

Physician Assistant

NPI 1184273708

Bonnie Wickham , PA

Physician Assistant

NPI 1225058902

Physician Assistant

Dr. Albert Lilly , MD

Emergency Medicine

NPI 1285677955

Doctor of Medicine (M.D.)

Joshua Scott , PA-C

Physician Assistant

NPI 1376099184

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location May 01, 2026

Registered at 61250 SE COOMBS PL, BEND, OR 977023704 (Tel: 5417065930)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2026

Physician Assistant (License #5008334-1206 in UT)

📍

Updated Practice Location January 29, 2022

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

📍

Updated Business Mailing Address January 29, 2022

Registered at PO BOX 6048, BEND, OR 977086048 (Tel: 5413824900)

✅

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2016

Registered at 17979 NE GLISAN ST, PORTLAND, OR 972306507 (Tel: 8882273312)

📍

Updated Business Mailing Address November 16, 2016

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤

Provider Name / Credentials Updated November 16, 2016

Recorded as JOHN TULLY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Physician Assistant (License #P175245 in OR)

🟢

Initial NPI Registration & Enumeration June 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for John Tully. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1992964563

Entity Type:

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

Enumeration Date: June 08, 2008

Last Update: May 01, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6048

Bend, OR 977086048

Phone: 5413824900

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.