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VINCENT S CULPEPPER MD
NPI 1023081437
Surgery in Cordele, GA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
1329 N 5TH STREET EXT, CORDELE, GA 31015(229) 276-2286(229) 276-2289 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vincent S Culpepper Md NPPES

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

VINCENT S CULPEPPER MD (NPI 1023081437) is an individual surgery provider in Cordele, Georgia, licensed in Georgia (046072) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and is a graduate of Mercer University School Of Medicine (1997).

NPPES Registry Identity

NPI1023081437
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVINCENT S CULPEPPERCredential: MD
Location Address1329 N 5TH STREET EXTCordele, GA 31015-3753
Mailing Address307 E 3rd AveCordele, GA 31015-3208 · (229) 271-4656 · Fax (229) 276-4654
Phone(229) 276-2286
Fax(229) 276-2289
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1997
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1023081437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 046072
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1329 N 5TH STREET EXT, Cordele, GA 31015
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Other Identifiers 3

Medicaid000978667AGA
Medicaid000978667BGA
Medicaid000978667CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Vincent S Culpepper Md 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 ID9638252497
PECOS Enrollment IDI20080218000014
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110104
Location902 7th Street NorthCordele, GA 31015 · Crisp County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MARCY KING FNP
Nurse Practitioner (Family)
1329 N 5TH STREET EXT
CORDELE, GA 31015
Crisp County (229) 273-9050
ALICIA ROBERTS REGISTER MD
Surgery
1329 N 5TH STREET EXT
CORDELE, GA 31015
Crisp County (229) 273-9050
CORDELE PERSONAL CARE HOME
Custodial Care Facility
1329 N 5TH STREET EXT
CORDELE, GA 31015
Crisp County (229) 273-6939

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 Vincent Culpepper's NPI number?

The NPI number for Vincent Culpepper is 1023081437. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Vincent Culpepper located?

Vincent Culpepper practices at 1329 N 5th Street Ext, Cordele, GA 31015. The listed phone number is (229) 276-2286.

What is Vincent Culpepper's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vincent Culpepper enrolled in Medicare?

Yes. Vincent Culpepper 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 Vincent Culpepper accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Vincent Culpepper 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.

Is Vincent Culpepper affiliated with any hospitals?

According to CMS data, Vincent Culpepper is affiliated with Crisp Regional Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Culpepper was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.