KEVIN MICHAEL MCCULLOUGH PA-C
NPI 1285147793
Physician Assistant in Fort Nill, SC

Active since November 07, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
601 S SUTTON RD, STE 101, FORT NILL, SC 29715(803) 328-6306(803) 909-6451 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 20, 2023, May 27, 2022, Nov 7, 2017 (3 updates tracked since 2017).

About Kevin Michael Mccullough Pa-c NPPES

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

KEVIN MICHAEL MCCULLOUGH PA-C (NPI 1285147793) is an individual physician assistant in Fort Nill, South Carolina, licensed in South Carolina (4394) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285147793
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN MICHAEL MCCULLOUGHCredential: PA-C
Location Address601 S SUTTON RD, STE 101Fort Nill, SC 29715
Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290
Fax(803) 909-6451
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 7, 2017
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
NPI 1285147793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in SC · 4394 Licensed in NC · 0010-07689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 S SUTTON RD, Fort Nill, SC 29715

Other Identifiers 2

Medicaid3507PASC
Medicaid1285147793NC

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

Kevin Michael 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 ID9032470547
PECOS Enrollment IDI20180226000860, I20220804000000
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
279 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services135 patients
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.
142 services132 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
88 services48 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
82 services64 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
82 services66 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
4 suppliers12 claims12 services$189.58 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
4 suppliers14 claims14 services$45.40 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 7

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

Orthopaedic Surgery
601 S SUTTON RD, STE 101
FORT MILL, SC 29715
Orthopaedic Surgery
601 S SUTTON RD, SUITE 101
FORT MILL, SC 29715
Orthopaedic Surgery (Hand Surgery)
601 S SUTTON RD, STE 101
FORT MILL, SC 29715
Physician Assistant
601 S SUTTON RD, STE 101
FORT MILL, SC 29715
Orthopaedic Surgery
601 S SUTTON RD, STE 101
FORT MILL, SC 29715
Physician Assistant
601 S SUTTON RD, STE 101
FORT MILL, SC 29715
Orthopaedic Surgery
601 S SUTTON RD, STE 101
FORT MILL, SC 29715

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 Kevin Mccullough's NPI number?

The NPI number for Kevin Mccullough is 1285147793. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Kevin Mccullough located?

Kevin Mccullough practices at 601 S Sutton Rd Ste 101, Fort Nill, SC 29715. The listed phone number is (803) 328-6306.

What is Kevin Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Mccullough enrolled in Medicare?

Yes. Kevin Mccullough 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 Kevin Mccullough accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Kevin Mccullough 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 Kevin Mccullough affiliated with any hospitals?

According to CMS data, Kevin Mccullough is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Mccullough was last updated on October 20, 2023. 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.