LORI A MCCULLOUGH PA-C
NPI 1336312693
Physician Assistant - Medical in Belleville, IL

Q: What is Lori Mccullough's NPI number?

The NPI number for Lori Mccullough is 1336312693. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is Lori 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 Lori Mccullough was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 08, 2008PECOS EnrolledAccepts Medicare Assignment

4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lori A Mccullough Pa-c NPPES

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

LORI A MCCULLOUGH PA-C (NPI 1336312693) is an individual medical provider in Belleville, Illinois, licensed in Illinois (085005433) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2001).

NPPES Registry Identity

NPI1336312693

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLORI A MCCULLOUGHCredential: PA-C

Location Address4500 MEMORIAL DRBelleville, IL 62226-5360

Mailing Address6400 Clayton Rd, Ste 110Saint Louis, MO 63117-1850 · (314) 645-4434 · Fax (314) 645-3801

Phone(618) 257-6220

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2001

Enumeration DateApril 8, 2008

Last NPPES UpdateAugust 31, 2022

NPPES CertifiedAugust 31, 2022

✔ NPI 1336312693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

Licenses✔ Licensed in IL · 085005433✔ Licensed in MO · 2002001000

4500 MEMORIAL DR, Belleville, IL 62226

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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

Lori A 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 ID7810021136

PECOS Enrollment IDI20150825003477

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

105 services103 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

83 services80 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

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.

CEP AMERICA - ILLINOIS SNF, LLP

Internal Medicine (Infectious Disease)

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 233-7750

MS. LAUREN NICOLE MARSHALL FNP

Nurse Practitioner

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-5455

MR. LITO T RUFIN NP

Nurse Practitioner

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

KIM C WRIGLEY P.A.

Physician Assistant

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

BRIAN BENDEL

Nurse Anesthetist, Certified Registered

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (561) 623-2008

DR. PAUL D SANDER MD

Pain Medicine (Pain Medicine)

4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226

St. Clair County (618) 257-4076

DR. NEIL MCCLYMONT D.O.

Emergency Medicine

4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226

St. Clair County (618) 233-7750

DR. VIBHU DHAWAN MD

Internal Medicine

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

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 Lori Mccullough's NPI number?

The NPI number for Lori Mccullough is 1336312693. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Lori Mccullough located?

Lori Mccullough practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Lori Mccullough's specialty?

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

Is Lori Mccullough enrolled in Medicare?

Yes. Lori 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.

Is Lori Mccullough affiliated with any hospitals?

According to CMS data, Lori Mccullough is affiliated with Alton Memorial Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lori Mccullough was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.