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DR. STEPHEN PATRICK MCCULLOH M.D.
NPI 1346563020
Family Medicine in Livingston, LA

Active since March 09, 2010PECOS EnrolledAccepts Medicare Assignment
79.13/100
CMS Quality Rating
13960 FLORIDA BLVD., LIVINGSTON, LA 70754(225) 686-0158(225) 686-9965 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 19, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Stephen Patrick Mcculloh M.d. NPPES

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

DR. STEPHEN PATRICK MCCULLOH M.D. (NPI 1346563020) is an individual family medicine provider in Livingston, Louisiana, licensed in Louisiana (MD.205997) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and maintains a secondary practice location in Denham Springs.

NPPES Registry Identity

NPI1346563020
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN PATRICK MCCULLOHCredential: M.D.
Location Address13960 FLORIDA BLVD.Livingston, LA 70754
Mailing Address8490 Picardy Ave, Bldg 200Baton Rouge, LA 70809-3731 · (225) 237-1754 · Fax (225) 237-1722
Phone(225) 686-0158
Fax(225) 686-9965
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 9, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1346563020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.205997
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13960 FLORIDA BLVD., Livingston, LA 70754
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Secondary Practice Location 1

Location 11286 Del Este AveDenham Springs, LA 70726-4898 · Phone (225) 667-3100

Other Identifiers 1

Medicaid1821110LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. Stephen Patrick Mcculloh M.d. 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 ID9830337690
PECOS Enrollment IDI20130606000266
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 Reassignment

Medicare enrollment records show Stephen Mcculloh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baton Rouge General Physicians, Inc.
22 mi
Internal Medicine
8585 PICARDY AVENUE
Baton Rouge, LA 70809
  • Reassigned Medicare billing, Louisiana enrollment
  • 41 clinicians in this Medicare group
NPI 1992729560 (225) 763-4254

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

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.
245 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
78 services78 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 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.
65 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70754 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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.

79.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability81
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims64 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims20 services$1.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stephen Mcculloh's NPI number?

The NPI number for Stephen Mcculloh is 1346563020. It was assigned to this individual provider in the NPPES registry on March 9, 2010.

Where is Stephen Mcculloh located?

Stephen Mcculloh practices at 13960 Florida Blvd., Livingston, LA 70754. The listed phone number is (225) 686-0158.

What is Stephen Mcculloh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Mcculloh enrolled in Medicare?

Yes. Stephen Mcculloh 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 organization bills Medicare for Stephen Mcculloh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Mcculloh reassigns Medicare benefits to Baton Rouge General Physicians, Inc. (Baton Rouge, LA). The 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 Stephen Mcculloh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Mcculloh accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Stephen Mcculloh 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 Stephen Mcculloh affiliated with any hospitals?

According to CMS data, Stephen Mcculloh is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Mcculloh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.