MR. THOMAS DAVID CULLEY CRNP
NPI 1609341528
Nurse Practitioner - Family in Allison Park, PA

Active since October 07, 2018PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
4849 WILLIAM FLYNN HWY, ALLISON PARK, PA 15101(412) 487-0416 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Oct 8, 2018, Oct 7, 2018 (3 updates tracked since 2018).

About Mr. Thomas David Culley Crnp NPPES

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

MR. THOMAS DAVID CULLEY CRNP (NPI 1609341528) is an individual family provider in Allison Park, Pennsylvania, licensed in Pennsylvania (SP018970) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609341528
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. THOMAS DAVID CULLEYCredential: CRNP
Location Address4849 WILLIAM FLYNN HWYAllison Park, PA 15101-2319
Mailing Address4849 William Flynn HwyAllison Park, PA 15101-2319 · (412) 487-0416
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 7, 2018
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1609341528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP018970
4849 WILLIAM FLYNN HWY, Allison Park, PA 15101

Accepted 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

Mr. Thomas David Culley Crnp 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 ID7214272418
PECOS Enrollment IDI20181217001198
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services16 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15101 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.87
Improvement Activities40
Cost91.65

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%466 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%74 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%456 patients2/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 83 patients
Patients totalRate: 0% · 83 patients
0%83 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Pharmacist
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Nurse Practitioner (Family)
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Pharmacist
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Nurse Practitioner (Family)
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Nurse Practitioner (Family)
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Nurse Practitioner (Family)
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101
Nurse Practitioner (Family)
4849 WILLIAM FLYNN HWY
ALLISON PARK, PA 15101

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 Thomas Culley's NPI number?

The NPI number for Thomas Culley is 1609341528. It was assigned to this individual provider in the NPPES registry on October 7, 2018.

Where is Thomas Culley located?

Thomas Culley practices at 4849 William Flynn Hwy, Allison Park, PA 15101. The listed phone number is (412) 487-0416.

What is Thomas Culley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Culley enrolled in Medicare?

Yes. Thomas Culley 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 Thomas Culley accept?

Health plans from CareSource list Thomas Culley 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.

When was this NPI record last updated?

The NPPES record for Thomas Culley was last updated on August 23, 2022. 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.