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KIMBERLY D MCCULLOCH MD
NPI 1154331585
Obstetrics & Gynecology in Logan, UT

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1154331585
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY D MCCULLOCHCredential: MD
Location Address1350 N 500 ELogan, UT 84341-2400
Mailing Address1350 N 500 ELogan, UT 84341-2400 · (435) 792-1920
Phone(435) 792-1920
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1999
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 17, 2008
✔ NPI 1154331585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 52840231205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1350 N 500 E, Logan, UT 84341
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH82263UT
Medicare PIN000063404UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

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.

PECOS PAC ID6608777909
PECOS Enrollment IDI20080116000136
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

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.
17 services14 patients

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, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

ERNEST BRETT HORSLEY DO
Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1920
GREGG ARTHUR MARSHALL MD
Surgery
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1950
IHC HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1521
MR. TYSON ANDERSON CLUFF PA-C
Physician Assistant
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2800
HAROLD VONK M.D.
Internal Medicine (Rheumatology)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1980
ROBERT M NASH MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
AGNIESZKA M SZPUNAR MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
ANDREW JAMES GOATES MD
Otolaryngology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 752-1693

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.

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.