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MONA CAROL MCCULLOUGH M.D.
NPI 1437348422
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Zephyrhills, FL

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
6719 GALL BLVD STE 208, ZEPHYRHILLS, FL 33542(813) 782-7318(813) 788-5067 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2021, Sep 14, 2020, Feb 14, 2020 and 2 more (5 updates tracked since 2019).

About Mona Carol Mccullough M.d. NPPES

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

MONA CAROL MCCULLOUGH M.D. (NPI 1437348422) is an individual urogynecology and reconstructive pelvic surgery provider in Zephyrhills, Florida, licensed in Florida (ME107055) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2006).

NPPES Registry Identity

NPI1437348422
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameMONA CAROL MCCULLOUGHCredential: M.D.
Location Address6719 GALL BLVD STE 208Zephyrhills, FL 33542-2569
Mailing Address6719 Gall Blvd Ste 208Zephyrhills, FL 33542-2569 · (813) 782-7318 · Fax (813) 788-5067
Phone(813) 782-7318
Fax(813) 788-5067
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2006
Enumeration DateOctober 16, 2007
Last NPPES UpdateOctober 19, 20215 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1437348422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in FL · ME107055
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
6719 GALL BLVD STE 208, Zephyrhills, FL 33542
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Other Identifiers 1

Medicaid100763900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mona Carol Mccullough 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 ID7416191168
PECOS Enrollment IDI20130918000691
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 9

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.
210 services132 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
177 services128 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.
150 services97 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
99 services99 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
65 services63 patients
Pessary, reusable, non rubber, any type A4562
A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.
24 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100211
Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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 Mona Mccullough's NPI number?

The NPI number for Mona Mccullough is 1437348422. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Mona Mccullough located?

Mona Mccullough practices at 6719 Gall Blvd Ste 208, Zephyrhills, FL 33542. The listed phone number is (813) 782-7318.

What is Mona Mccullough's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Mona Mccullough enrolled in Medicare?

Yes. Mona 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 Mona Mccullough accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Mona 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 Mona Mccullough affiliated with any hospitals?

According to CMS data, Mona Mccullough is affiliated with Florida Hospital Zephyrhills, Adventhealth North Pinellas, Adventhealth Tampa, Adventhealth Dade City and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Mona Mccullough was last updated on October 19, 2021. 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.