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DR. KATIE B MCCULLOCH PH.D.
NPI 1013454842
Psychologist - Clinical in Portland, OR

Active since January 31, 2017PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
5228 NE HOYT ST BLDG B2ND, PORTLAND, OR 97213(503) 215-4860 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2019, Apr 16, 2018, Nov 3, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Katie B Mcculloch Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATIE B MCCULLOCH PH.D. (NPI 1013454842) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2976) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013454842
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATIE B MCCULLOCHCredential: PH.D.
Location Address5228 NE HOYT ST BLDG B2NDPortland, OR 97213-3055
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-4860
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 31, 2017
Last NPPES UpdateApril 9, 20194 updates tracked since enumeration
✔ NPI 1013454842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in OR · 2976✔ Licensed in WA · 60690421
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 60690421 (WA)
5228 NE HOYT ST BLDG B2ND, Portland, OR 97213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katie B Mcculloch Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052698925
PECOS Enrollment IDI20190225000930
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
112 services21 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
85 services20 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
21 services21 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
21 services21 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
20 services20 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUSTINE CHASE TAYLOR LCSW
Social Worker (Clinical)
5228 NE HOYT ST BLDG B2ND
PORTLAND, OR 97213
Multnomah County (503) 215-6474
JAIME ETHAN BIAVA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5228 NE HOYT ST BLDG B2ND
PORTLAND, OR 97213
Multnomah County (503) 215-4860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Mcculloch's NPI number?

The NPI number for Katie Mcculloch is 1013454842. It was assigned to this individual provider in the NPPES registry on January 31, 2017.

Where is Katie Mcculloch located?

Katie Mcculloch practices at 5228 NE Hoyt St Bldg B2nd, Portland, OR 97213. The listed phone number is (503) 215-4860.

What is Katie Mcculloch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Katie Mcculloch enrolled in Medicare?

Yes. Katie Mcculloch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katie Mcculloch accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Katie Mcculloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Mcculloch was last updated on April 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.