DR. SUSAN M CULICAN MD
NPI 1164440640
Ophthalmology in Minneapolis, MN

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-4440(314) 454-2368 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2019, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Susan M Culican Md NPPES

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

DR. SUSAN M CULICAN MD (NPI 1164440640) is an individual ophthalmology provider in Minneapolis, Minnesota, licensed in Minnesota (66456) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Washington University School Of Medicine (1998).

NPPES Registry Identity

NPI1164440640
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SUSAN M CULICANCredential: MD
Location Address516 DELAWARE ST SEMinneapolis, MN 55455-0356
Mailing Address516 Delaware St SeMinneapolis, MN 55455-0356
Fax(314) 454-2368
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1998
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration
✔ NPI 1164440640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MN · 66456✔ Licensed in MO · 115486
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
516 DELAWARE ST SE, Minneapolis, MN 55455

Other Identifiers 2

MedicaidENROLLEDIL
Medicaid205785306MO

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

Dr. Susan M Culican 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 ID8426189960
PECOS Enrollment IDI20191127000311
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Susan Culican reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Multi-Specialty
4901 FOREST PARK AVE
Saint Louis, MO 63108
  • Reassigned Medicare billing, Missouri enrollment
  • 105 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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Internal Medicine (Nephrology)
516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455

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 Susan Culican's NPI number?

The NPI number for Susan Culican is 1164440640. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Susan Culican located?

Susan Culican practices at 516 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-4440.

What is Susan Culican's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Susan Culican enrolled in Medicare?

Yes. Susan Culican 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 organizations bill Medicare for Susan Culican's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Culican reassigns Medicare benefits to 5 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Washington University (Saint Louis, MO). Each 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 Susan Culican's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Culican accept?

Health plans from Sanford Health Plan list Susan Culican 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 Susan Culican affiliated with any hospitals?

According to CMS data, Susan Culican is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Susan Culican was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.