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DR. TIMOTHY J. MCCULLEY M.D.
NPI 1124044979
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Houston, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST, HOUSTON, TX 77030(713) 486-9400 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2021, Sep 24, 2021 (2 updates tracked since 2021).

About Dr. Timothy J. Mcculley M.d. NPPES

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

DR. TIMOTHY J. MCCULLEY M.D. (NPI 1124044979) is an individual ophthalmic plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (T2801) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1124044979
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. TIMOTHY J. MCCULLEYCredential: M.D.
Location Address6400 FANNIN STHouston, TX 77030-1521
Mailing Address6400 Fannin StHouston, TX 77030-1521
Phone(713) 486-9400
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1995
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1124044979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in TX · T2801
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License A60994 (CA), D73128 (MD)
6400 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A609940CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Timothy J. Mcculley M.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 ID9931001997
PECOS Enrollment IDI20210819000895
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 5

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.
26 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services22 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
21 services16 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
16 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

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.

TEXAS MEDICAL CENTER DENTAL
Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Harris County (713) 795-0608
SCOTT JAMES RYAN MD
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 486-5100
KRISTIN WHANGER PACINI PA
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Harris County (713) 486-1800
DR. RANA OMAR AFIFI MD
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Harris County (713) 486-5100
DR. MICHAEL S SWEENEY M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Harris County (713) 790-0841
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Harris County (713) 740-2200
TARA L WEGRYN MD PA
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Harris County (713) 791-9778
JORDANNA ESPANOLA MSN, RN, FNP-C
Nurse Practitioner (Family)
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (281) 914-9756

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 Timothy Mcculley's NPI number?

The NPI number for Timothy Mcculley is 1124044979. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Timothy Mcculley located?

Timothy Mcculley practices at 6400 Fannin St, Houston, TX 77030. The listed phone number is (713) 486-9400.

What is Timothy Mcculley's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Timothy Mcculley enrolled in Medicare?

Yes. Timothy Mcculley 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 Timothy Mcculley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Timothy Mcculley 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 Timothy Mcculley affiliated with any hospitals?

According to CMS data, Timothy Mcculley is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Mcculley was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.