Doctor profile · Federal record
Dr. OLIVIA BULLOCK, DO
Family Medicine Physician (CMS: FAMILY PRACTICE) · SAINT JOHNS, FL
- NPI 1114542859
- Accepts Medicare
- MIPS 88.8 / 100 · 2023
- 6 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
(904) 824-4407
fax (904) 390-7459 - Additional location
-
14540 Old Saint Augustine Rd Ste 2317
Jacksonville, FL 322587418 - Mailing address
-
PO BOX 746638
ATLANTA, GA 303746638
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- August 15, 2023
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Florida #OS18963
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114542859. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
66
Distinct HCPCS
3
Medicare allowed
$7,287
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 27 | $125 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $164 | |
36415 |
Insertion of needle into vein for collection of blood sample | 13 | 13 | $8 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 67. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$1,445
Transactions
59
Manufacturers
14
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 22 | $395.34 | |
| AstraZeneca Pharmaceuticals LP | 4 | $284.99 | |
| Novo Nordisk Inc | 13 | $267.93 | |
| Merck Sharp & Dohme LLC | 2 | $137.88 | |
| Exact Sciences Corporation | 3 | $70.92 | |
| Lilly USA, LLC | 3 | $63.94 | |
| Amgen Inc. | 3 | $50.98 | |
| GlaxoSmithKline, LLC. | 2 | $43.66 | |
| PFIZER INC. | 2 | $41.54 | |
| Phathom Pharmaceuticals, Inc. | 1 | $21.68 | |
| Dynavax Technologies Corporation | 1 | $19.48 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $18.02 | |
| Astellas Pharma US Inc | 1 | $14.57 | |
| Medtronic, Inc. | 1 | $13.80 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
379
Patients
56
Total drug cost
$29,930
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 51 | 22 | $769 |
| Lisinopril | Generic | 46 | 16 | $290 |
| Amlodipine Besylate | Generic | 45 | 18 | $256 |
| Metformin Hcl | Generic | 32 | 0 | $242 |
| Gabapentin | Generic | 30 | 0 | $894 |
| Losartan Potassium | Generic | 22 | 0 | $354 |
| Rosuvastatin Calcium | Generic | 21 | 0 | $305 |
| Hydrochlorothiazide | Generic | 19 | 0 | $293 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 18 | 0 | $262 |
| Trulicity (Dulaglutide) | Brand | 17 | 0 | $20,265 |