MATHEW R MCCULLOUGH PA-C
NPI 1184189425
Physician Assistant - Medical in Delta, CO

Q: What is Mathew Mccullough's NPI number?

The NPI number for Mathew Mccullough is 1184189425. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Q: What is Mathew Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mathew Mccullough was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 31, 2019PECOS EnrolledAccepts Medicare Assignment

1250 VALLEY VIEW DR, DELTA, CO 81416(970) 874-8981(855) 299-7586 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2024, Oct 10, 2023, Apr 24, 2020 and 1 more (4 updates tracked since 2019).

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About Mathew R Mccullough Pa-c NPPES

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

MATHEW R MCCULLOUGH PA-C (NPI 1184189425) is an individual medical provider in Delta, Colorado, licensed in Colorado (PA.0006103) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184189425

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMATHEW R MCCULLOUGHCredential: PA-C

Location Address1250 VALLEY VIEW DRDelta, CO 81416-3138

Mailing AddressPo Box 529Olathe, CO 81425-0529 · (970) 323-6141 · Fax (855) 299-8071

Phone(970) 874-8981

Fax(855) 299-7586

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 31, 2019

Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1184189425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0006103

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA.0006103 (CO)

1250 VALLEY VIEW DR, Delta, CO 81416

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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

Mathew R Mccullough Pa-c 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 ID5092145508

PECOS Enrollment IDI20200424001281

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

49 services28 patients

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$22.51 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims74 services$3.21 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers55 claims55 services$19.87 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$18.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers125 claims125 services$108.98 avg. paid by Medicare

Durable medical equipment, miscellaneous E1399

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims11 services$94.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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