PETER MCCULLOUGH MD
NPI 1467136879
Family Medicine in Wichita, KS

Q: What is Peter Mccullough's NPI number?

The NPI number for Peter Mccullough is 1467136879. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Peter Mccullough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Mccullough was last updated on June 19, 2023. 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 June 14, 2023PECOS Enrolled

1121 S CLIFTON AVE, WICHITA, KS 67218(316) 665-4032(316) 665-4032 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Peter Mccullough Md NPPES

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

PETER MCCULLOUGH MD (NPI 1467136879) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-11602) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467136879

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePETER MCCULLOUGHCredential: MD

Location Address1121 S CLIFTON AVEWichita, KS 67218-2912

Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2665

Phone(316) 665-4032

Fax(316) 665-4032

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 14, 2023

Last NPPES UpdateJune 19, 2023

NPPES CertifiedJune 19, 2023

✔ NPI 1467136879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-11602

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.

1121 S CLIFTON AVE, Wichita, KS 67218

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Mccullough Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032579149

PECOS Enrollment IDI20260720003606

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 Peter Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stillwater Hospital Association, Inc.

826 mi

Critical Access

710 N 11TH STREET
Columbus, MT 59019

Reassigned Medicare billing, Montana enrollment
86 clinicians in this Medicare group

NPI 1053488387 (406) 322-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67218 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

DR. JAKOB LAREAU TSOSIE MD

Family Medicine