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KATHLEEN ROSE MCCULLOUGH PA
NPI 1518202068
Physician Assistant in Charlotte, NC

Active since December 10, 2012PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
4525 CAMERON VALLEY PKWY, STE 4100, CHARLOTTE, NC 28211(704) 355-5100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 45 more (48 updates tracked since 2018).

About Kathleen Rose Mccullough Pa NPPES

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

KATHLEEN ROSE MCCULLOUGH PA (NPI 1518202068) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-07415) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1518202068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ROSE MCCULLOUGHCredential: PA
Location Address4525 CAMERON VALLEY PKWY, STE 4100Charlotte, NC 28211-4369
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 10, 2012
Last NPPES UpdateJuly 15, 202448 updates tracked since enumeration
✔ NPI 1518202068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-07415
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4525 CAMERON VALLEY PKWY, Charlotte, NC 28211
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11585 Forney Creek Pkwy, Ste 2350Denver, NC 28037-9514 · Phone (980) 212-4000
Location 210650 Park RdCharlotte, NC 28210-8538 · Phone (704) 302-9462
Location 310650 Park Rd, Ste 330Charlotte, NC 28210-8538 · Phone (704) 468-8877
Location 4441 McAlister RdLincolnton, NC 28092-4126 · Phone (980) 212-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Kathleen Rose Mccullough Pa 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 ID6002051018
PECOS Enrollment IDI20171212003087
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 7

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.
336 services204 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
292 services177 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
266 services171 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
201 services131 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.
16 services16 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers84 claims84 services$180.89 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
9 suppliers13 claims13 services$174.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELIZABETH TEMPLETON SILVERS RD
Dietitian, Registered
4525 CAMERON VALLEY PKWY, STE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9462
JESSICA JOHNSON
Nurse Practitioner
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 355-5100
CINDY IRIS VARGA MD
Internal Medicine (Hematology)
4525 CAMERON VALLEY PKWY, STE 3500
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-8300
CATHERINE MCCALLEY SHAW FNP
Nurse Practitioner (Family)
4525 CAMERON VALLEY PKWY, STE 4100D
CHARLOTTE, NC 28211
Mecklenburg County (980) 402-1800
MRS. ADENIKE FASAN B.PHARM
Pharmacist (Oncology)
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (980) 442-9304
CHELSEA SCHAFER PA-C
Physician Assistant
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 667-5800
VIBHU DHINGRA MD
Internal Medicine
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 355-5100
THOMAS C SUNDBERG M.D.
Internal Medicine (Rheumatology)
4525 CAMERON VALLEY PKWY, SUITE 4100
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9300

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 Kathleen Mccullough's NPI number?

The NPI number for Kathleen Mccullough is 1518202068. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Kathleen Mccullough located?

Kathleen Mccullough practices at 4525 Cameron Valley Pkwy Ste 4100, Charlotte, NC 28211. The listed phone number is (704) 355-5100.

What is Kathleen Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathleen Mccullough enrolled in Medicare?

Yes. Kathleen 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 Kathleen Mccullough accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kathleen 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 Kathleen Mccullough affiliated with any hospitals?

According to CMS data, Kathleen Mccullough is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kathleen Mccullough was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.