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KELLY LOREN MCCULLOUGH PA-C
NPI 1497088025
Physician Assistant - Medical in Pittsburgh, PA

Active since September 15, 2009PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237(412) 367-0600(412) 367-7079 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Loren Mccullough Pa-c NPPES

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

KELLY LOREN MCCULLOUGH PA-C (NPI 1497088025) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA051371) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497088025
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY LOREN MCCULLOUGHCredential: PA-C
Location Address9104 BABCOCK BLVD, SUITE 2120Pittsburgh, PA 15237-5818
Mailing Address7500 Brooktree Road, Suite 320Wexford, PA 15090-5818 · (412) 367-0600 · Fax (412) 367-7079
Phone(412) 367-0600
Fax(412) 367-7079
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 15, 2009
Last NPPES UpdateDecember 19, 2018
✔ NPI 1497088025 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
License✔ Licensed in PA · MA051371
9104 BABCOCK BLVD, Pittsburgh, PA 15237
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Loren Heffner

Other Identifiers 37

Other1497088025Aetna Better Health
Other1497088025Highmark Blue Shield
Other1497088025Devon
Other1497088025Flora
Other1497088025Amerihealth Mercy
Other1497088025Cigna
Other1497088025Fidelis Care Ma
Other1497088025Gateway Health Plan
Other1497088025Geisinger Medicare
Other1497088025Highmark Managed Care
Other1497088025Great West
Other1497088025Palmetto--railroad Medicare
Other1497088025Corvel
Other1497088025Upmc For Life
Other1497088025Vantage Ppo
Other1490788025Gateway Medicare Assured
Other1497088025Unison Of Oh
Other1497088025Fidelis Care Medicare
Other1497088025Hpuov
Other1497088025Upmc Commercial
Other1497088025Aetna Commercial
Other1497088025Cigna Behavioral Health
Other1497088025Geisinger Health
Other1497088025Private Health Care System
Other1497088025Health America
Other1497088025Aetna Medicare
Other1497088025United Healthcare/unison
Other1497088025United Healthcare Commercial
Other1497088025Wexford Health Services
Other1497088025Community Life
Other1497088025Keystone Managed Care
Other1497088025Humana Commercial
Other1497088025Intergroup
Other1497088025Medicare-novitas
Other1497088025United Healthcare/optum
Other1497088025Upmc For You
Medicaid1497088025PA

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

Kelly Loren 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 ID1052456613
PECOS Enrollment IDI20100308000008
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 2

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.
19 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.74
Promoting Interoperability100
Improvement Activities40
Cost64.36

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.

GABRIELLE ANNE BUI MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (412) 748-7407
NATALIE LLEWELLYN
Physician Assistant (Surgical)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
VASANTI HARSHIT MAJMUDAR M.D.
Obstetrics & Gynecology
9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237
Allegheny County (412) 364-4184
JAMES CRAIG
Physical Medicine & Rehabilitation (Pain Medicine)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. RICHARD AVERY HERMAN JR. MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (706) 721-0211
ROMANO PONTZER & ASSOCIATES LIMITED
Internal Medicine (Infectious Disease)
9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237
Allegheny County (412) 348-0330
JUDITH ESMAN
Internal Medicine
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. MICHAEL W. WEISS M.D.
Specialist
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600

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 Kelly Mccullough's NPI number?

The NPI number for Kelly Mccullough is 1497088025. It was assigned to this individual provider in the NPPES registry on September 15, 2009. The provider is also known as Kelly Loren Heffner.

Where is Kelly Mccullough located?

Kelly Mccullough practices at 9104 Babcock Blvd Suite 2120, Pittsburgh, PA 15237. The listed phone number is (412) 367-0600.

What is Kelly Mccullough's specialty?

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

Is Kelly Mccullough enrolled in Medicare?

Yes. Kelly 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 Kelly Mccullough affiliated with any hospitals?

According to CMS data, Kelly Mccullough is affiliated with Upmc Jameson, Heritage Valley Beaver and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mccullough was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.