Brenden G. Tully, PA
NPI 1720765969ActiveIndividual· Physician Assistant· Ashtabula, OH
Physician Assistant (PA) with Wrh Physicians, Inc and 1 other group, practicing in Ashtabula, Ohio. Medicare paid $5,068 for services to 69 patients in 2024. Lists Summa Western Reserve Hospital as a hospital affiliation.
Overview
| NPI | 1720765969 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2023 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.008422RX | 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 | 69 |
|---|---|
| Services billed | 86 across 16 procedure codes |
| Paid by Medicare | $5,068 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Wrh Physicians, IncCuyahoga Falls, OH · 152 clinicians
- Bloomington Medical Services LLCWooster, OH · 107 clinicians
Hospital affiliation
- Summa Western Reserve HospitalCuyahoga Falls, OH
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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