KEVIN PATRICK MCMULLEN MD
NPI 1093797045
Radiology - Radiation Oncology in Statesville, NC

Q: What is Kevin Mcmullen's NPI number?

The NPI number for Kevin Mcmullen is 1093797045. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Kevin Mcmullen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mcmullen was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment

90.14/100

CMS Quality Rating

557 BROOKDALE DR, STATESVILLE, NC 28677(704) 878-4615(704) 878-7193 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Sep 6, 2024, Oct 18, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Kevin Patrick Mcmullen Md NPPES

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

KEVIN PATRICK MCMULLEN MD (NPI 1093797045) is an individual radiation oncology provider in Statesville, North Carolina, licensed in North Carolina (9900941) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093797045

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameKEVIN PATRICK MCMULLENCredential: MD

Location Address557 BROOKDALE DRStatesville, NC 28677-4107

Mailing AddressPo Box 1828Statesville, NC 28687-1828 · (704) 878-4615 · Fax (704) 878-7193

Phone(704) 878-4615

Fax(704) 878-7193

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 1994

Enumeration DateNovember 16, 2005

Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1093797045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in NC · 9900941

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

557 BROOKDALE DR, Statesville, NC 28677

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Secondary Practice Locations 2

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 944-2524

Location 2Medical Center BlvdWinston Salem, NC 27157-5149 · Phone (336) 716-3600 · Fax (336) 716-6622

Other Identifiers 12

Medicaid2004948000WV

Medicaid201037980IN

OtherP01420734IN · Railroad Medicare

Other7957688Aetna

Other802872NC · Partners

MedicaidQ0094CSC

Medicaid10001251VA

Other1333UNC · Bcbs

Medicaid891333UNC

Other000000746372IN · Anthem

Other000000990588IN · Anthem Pin

OtherC6010NC · Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Kevin Patrick Mcmullen 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 ID1759437734

PECOS Enrollment IDI20090916000179

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 9

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.

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

363 services24 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

132 services36 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

97 services39 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

47 services28 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

39 services39 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

31 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

90.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.14

Promoting Interoperability

93.3

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

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