PAMELA R MCCULLOCH MD
NPI 1124018668
Anesthesiology in Fort Wayne, IN
About Pamela R Mcculloch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA R MCCULLOCH MD (NPI 1124018668) is an individual anesthesiology provider in Fort Wayne, Indiana, licensed in Indiana (01040377) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela R Mcculloch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
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.
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.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Pamela Mcculloch's NPI number?
The NPI number for Pamela Mcculloch is 1124018668. It was assigned to this individual provider in the NPPES registry on October 26, 2005.
Where is Pamela Mcculloch located?
Pamela Mcculloch practices at 5734 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 436-7875.
What is Pamela Mcculloch's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Pamela Mcculloch enrolled in Medicare?
Yes. Pamela Mcculloch is registered in the Medicare PECOS enrollment system.
What insurance does Pamela Mcculloch accept?
Health plans from CareSource list Pamela 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 Pamela Mcculloch was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pamela R Mcculloch, MD · NPI 1124018668
Anesthesiology physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1124018668 (Entity type: Individual)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 01040377 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5734 COVENTRY LN, Fort Wayne, IN 46804-7141
- **Phone:** (260) 436-7875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 29, 2007
- **Other identifiers:** Medicare PIN 057600AA (IN); Medicaid 1003270000 (IN); Medicare UPIN F72280
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Source: [NPI Profile](https://npiprofile.com/npi/1124018668) · Data from the CMS NPPES public registry.