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: July 19, 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
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

Other Identifiers 2

Medicare UPINH82263UT
Medicare PIN000063404UT

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 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 2024 & 2026 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, 20-29 minutes 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.
20 services17 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.

Pediatrics
1350 N 500 E
LOGAN, UT 84341
Pediatrics
1350 N 500 E
LOGAN, UT 84341
Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Pediatrics
1350 N 500 E
LOGAN, UT 84341
Pediatrics
1350 N 500 E
LOGAN, UT 84341
Nurse Practitioner
1350 N 500 E
LOGAN, UT 84341
Dietitian, Registered
1350 N 500 E
LOGAN, UT 84341
Internal Medicine
1350 N 500 E
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154331585, enumerated as an "individual" on August 08, 2006.

The provider is located at 1350 N 500 E LOGAN, UT 84341 and the phone number is (435) 792-1920.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Molina Healthcare, Select Health, University of. Please consult your insurance carrier or call the provider to verify.

Kimberly Mcculloch is affiliated with: LOGAN REGIONAL HOSPITAL.