Timothy C. Bullard, MD
NPI 1306801766ActiveIndividual· Family Medicine· Marina Del Rey, CA
Family Medicine (MD) in Marina Del Rey, California, trained at Indiana University School of Medicine (class of 1995). In 2024 Medicare paid $10,812 for 132 patients, and Part D covered 488 of their prescriptions, 89% of them generic.
Overview
| NPI | 1306801766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2006 |
| Last updated in NPPES | Oct 7, 2021 |
| Certified by provider | Oct 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A64738 | CA |
| Emergency Medicine | 207P00000X | A64738 | CA |
| Emergency Medicine | 207P00000X | 01051619 | IN |
| Emergency Medicine | 207P00000X | 4301082809 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA); Practitioner - Family Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 160 across 20 procedure codes |
| Paid by Medicare | $10,812 |
Part D prescriptions in 2024
| Prescriptions (claims) | 488 · 533 30-day fills |
|---|---|
| Patients | 306 |
| Total drug cost | $7,345 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Family Practice |
Medical group
- The Regents of the University of CaliforniaSanta Monica, CA · 1,462 clinicians
Hospital affiliation
- Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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