MARY ELLEN CULLOM MD
NPI 1275503864
Ophthalmology in Newport News, VA

Q: What is Mary Cullom's NPI number?

The NPI number for Mary Cullom is 1275503864. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Mary Cullom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Cullom was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 25, 2006PECOS Enrolled

11800 ROCK LANDING DR, NEWPORT NEWS, VA 23606(757) 643-8800(757) 643-8919 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Ellen Cullom Md NPPES

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

MARY ELLEN CULLOM MD (NPI 1275503864) is an individual ophthalmology provider in Newport News, Virginia, licensed in Virginia (0101049366) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275503864

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMARY ELLEN CULLOMCredential: MD

Location Address11800 ROCK LANDING DRNewport News, VA 23606-4206

Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318

Phone(757) 643-8800

Fax(757) 643-8919

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateOctober 4, 2013

✔ NPI 1275503864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101049366

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.

11800 ROCK LANDING DR, Newport News, VA 23606

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Other Identifiers 4

Medicare PIN016234R53VA

Medicaid1275503864VA

Medicare UPINE93224VA

Medicare PIN180036431VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Cullom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 17

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

ANDREW W LEWIS MD

Ophthalmology