Lucilyn Ann Bullock, PA-C
NPI 1104963552ActiveIndividual· Physician Assistant, Medical· Tallmadge, OH
Physician Assistant, Medical (PA-C) in Tallmadge, Ohio, licensed in OH, with an NPI issued in February 2007. Their prescriptions cost Medicare Part D more than their services did: $79,144 for 1,234 claims, against $4,538 paid for services in 2024. Abbott Laboratories reported $22.88 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1104963552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 1, 2007 |
| Last updated in NPPES | Mar 30, 2022 |
| Certified by provider | Mar 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 50-000779 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 101 across 17 procedure codes |
| Paid by Medicare | $4,538 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,234 · 2,631 30-day fills |
|---|---|
| Patients | 388 |
| Total drug cost | $79,144 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2025$22.88 · 1 payment from 1 company
- 2024$528.55 · 19 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $22.88 | 1 |
What the 2025 payments were for
- Food and Beverage$22.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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