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STEPHEN A MCCULLOUGH MD
NPI 1508126558
Internal Medicine - Cardiovascular Disease in New York, NY

Active since May 24, 2012Opted out of Medicare · through Apr 27, 2027
100/100
CMS Quality Rating
860 PARK AVE, SUITE 1, NEW YORK, NY 10075(646) 350-0420(646) 350-0423 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2023, Jan 29, 2021, Aug 8, 2018 and 2 more (5 updates tracked since 2016).

About Stephen A Mccullough Md NPPES

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

STEPHEN A MCCULLOUGH MD (NPI 1508126558) is an individual cardiovascular disease provider in New York, New York, licensed in New York (292094) and active in the NPI registry since May 2012. He has opted out of Medicare through April 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508126558
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSTEPHEN A MCCULLOUGHCredential: MD
Location Address860 PARK AVE, SUITE 1New York, NY 10075
Mailing Address860 Park Ave, Suite 1New York, NY 10075 · (646) 350-0420 · Fax (646) 350-0423
Phone(646) 350-0420
Fax(646) 350-0423
Sole ProprietorNo
Enumeration DateMay 24, 2012
Last NPPES UpdateJune 22, 20235 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1508126558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 292094
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 292094 (NY)
860 PARK AVE, SUITE 1, New York, NY 10075
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephen A Mccullough Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2023 through April 27, 2027.

Opt-Out Effective DateApril 27, 2023
Opt-Out In Effect ThroughApril 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
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 Stephen Mccullough's NPI number?

The NPI number for Stephen Mccullough is 1508126558. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Stephen Mccullough located?

Stephen Mccullough practices at 860 Park Ave, Suite 1, New York, NY 10075. The listed phone number is (646) 350-0420.

What is Stephen Mccullough's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephen Mccullough enrolled in Medicare?

No. Stephen Mccullough has opted out of Medicare through April 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephen Mccullough was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.