CHARLES S CULLISON DO
NPI 1578025912
Emergency Medicine in Nellis Afb, NV

Q: What is Charles Cullison's NPI number?

The NPI number for Charles Cullison is 1578025912. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Charles Cullison's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Cullison was last updated on February 20, 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 April 04, 2019PECOS EnrolledAccepts Medicare Assignment

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2023, Jul 5, 2022, May 3, 2022 and 1 more (4 updates tracked since 2019).

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About Charles S Cullison Do NPPES

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

CHARLES S CULLISON DO (NPI 1578025912) is an individual emergency medicine provider in Nellis Afb, Nevada, licensed in Nevada (DO3314) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Boulder City Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2019).

NPPES Registry Identity

NPI1578025912

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCHARLES S CULLISONCredential: DO

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273

Phone(702) 653-2273

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1578025912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in NV · DO3314✔ Licensed in TX · T0457

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10066642 (TX)

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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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

Charles S Cullison Do 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 ID1557759644

PECOS Enrollment IDI20230223002465

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

34 services34 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV

OwnershipVoluntary non-profit - Private

CMS Certification Number291309

Location901 Adams BlvdBoulder City, NV 89005 · Clark County

Emergency services

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291313

Location801 East Williams AvenueFallon, NV 89406 · Churchill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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. DEBRA A KOENIGSBERGER MD

Integrative Medicine