Wesley Ryan Bull, PA-C
NPI 1225469935ActiveIndividual· Physician Assistant, Medical· Midlothian, TX
Physician Assistant, Medical (PA-C) with Epiphany Dermatology PA, practicing in Midlothian, Texas. Their prescriptions cost Medicare Part D more than their services did: $635,428 for 1,226 claims, against $159,125 paid for services in 2024. Arcutis Biotherapeutics, Inc. was the largest of 9 companies reporting payments in 2025, $436.22 in all, mostly food and beverage.
Overview
| NPI | 1225469935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 5, 2013 |
| Last updated in NPPES | Mar 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA08572 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,065 |
|---|---|
| Services billed | 5,321 across 48 procedure codes |
| Paid by Medicare | $159,125 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,226 · 1,413 30-day fills |
|---|---|
| Patients | 421 |
| Total drug cost | $635,428 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Epiphany Dermatology PABryan, TX · 109 clinicians
Industry payments (Open Payments)
- 2025$436.22 · 21 payments from 9 companies
- 2024$310.28 · 14 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Arcutis Biotherapeutics, Inc. | $84.82 | 3 |
| Pfizer Inc. | $73.90 | 4 |
| Leo Pharma Inc. | $73.58 | 3 |
| Galderma Laboratories, L.P. | $55.42 | 3 |
| Organon LLC | $52.10 | 3 |
What the 2025 payments were for
- Food and Beverage$436.22 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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