WAYNE M MCCULLOUGH
NPI 1033284179
Podiatrist in Frankfort, IL

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
71.42/100
CMS Quality Rating
21813 CAPPEL LN, FRANKFORT, IL 60423(978) 549-6818(847) 674-0892 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne M Mccullough NPPES

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

WAYNE M MCCULLOUGH (NPI 1033284179) is an individual podiatrist in Frankfort, Illinois, licensed in Massachusetts (1939) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1033284179
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameWAYNE M MCCULLOUGH
Location Address21813 CAPPEL LNFrankfort, IL 60423-2275
Mailing Address21813 Cappel LnFrankfort, IL 60423-2275 · (978) 549-6818 · Fax (847) 674-0892
Fax(847) 674-0892
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1989
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 21, 2015
NPI 1033284179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MA · 1939
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 1939 (MA)
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 1939 (MA)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 1939 (MA)
21813 CAPPEL LN, Frankfort, IL 60423

Other Identifiers 4

Medicare PINLX5285
Medicare UPINU17828MA
Medicare NSC4120000001
Medicaid0363037MA

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

Wayne M Mccullough 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 ID446269278
PECOS Enrollment IDI20140604000676
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 16

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
2,386 services1,229 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
2,344 services1,202 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
653 services517 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
423 services422 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
246 services198 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
234 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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.

71.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.49
Promoting Interoperability100
Improvement Activities20

Reported Quality Measures

Advance Care Plan
93%1,348 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
89%198 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,566 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,394 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,367 patients
Patients totalRate: 0% · 1,367 patients
0%1,367 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Podiatrist (Primary Podiatric Medicine)
21813 CAPPEL LN
FRANKFORT, IL 60423

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 Wayne Mccullough's NPI number?

The NPI number for Wayne Mccullough is 1033284179. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Wayne Mccullough located?

Wayne Mccullough practices at 21813 Cappel Ln, Frankfort, IL 60423. The listed phone number is (978) 549-6818.

What is Wayne Mccullough's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Wayne Mccullough enrolled in Medicare?

Yes. Wayne Mccullough 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.

When was this NPI record last updated?

The NPPES record for Wayne Mccullough was last updated on September 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.