KIMBERLY D MCCULLOCH MD
NPI 1154331585
Obstetrics & Gynecology in Logan, UT
About Kimberly D Mcculloch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY D MCCULLOCH MD (NPI 1154331585) is an individual obstetrics & gynecology provider in Logan, Utah, licensed in Utah (52840231205) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of University Of North Dakota School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly D Mcculloch 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Mcculloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Logan Regional Hospital
Acute Care Hospitals · Logan, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kimberly Mcculloch's NPI number?
The NPI number for Kimberly Mcculloch is 1154331585. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Kimberly Mcculloch located?
Kimberly Mcculloch practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 792-1920.
What is Kimberly Mcculloch's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kimberly Mcculloch enrolled in Medicare?
Yes. Kimberly Mcculloch 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.
Which organization bills Medicare for Kimberly Mcculloch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mcculloch reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Mcculloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Mcculloch accept?
Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Kimberly 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.
Is Kimberly Mcculloch affiliated with any hospitals?
According to CMS data, Kimberly Mcculloch is affiliated with Logan Regional Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Mcculloch was last updated on July 17, 2008. 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.
# Kimberly D Mcculloch, MD · NPI 1154331585
Obstetrics & Gynecology physician in Logan, Utah. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1154331585 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 52840231205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 N 500 E, Logan, UT 84341-2400
- **Phone:** (435) 792-1920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1982748737, Logan, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 17, 2008
- **Other identifiers:** Medicare UPIN H82263 (UT); Medicare PIN 000063404 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1154331585) · Data from the CMS NPPES public registry.