BENJAMIN CULLEN DO
NPI 1619182862
Surgery in Troy, MO

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
1175 E CHERRY ST, TROY, MO 63379(636) 528-8686(636) 528-3332 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Cullen Do NPPES

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

BENJAMIN CULLEN DO (NPI 1619182862) is an individual surgery provider in Troy, Missouri, licensed in Missouri (2011006590) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1619182862
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN CULLENCredential: DO
Location Address1175 E CHERRY STTroy, MO 63379-1520
Mailing Address1175 E Cherry StTroy, MO 63379-1520 · (636) 528-8686 · Fax (636) 528-3332
Fax(636) 528-3332
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 10, 2015
NPI 1619182862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MO · 2011006590 Licensed in MI · 5101016896
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1175 E CHERRY ST, Troy, MO 63379

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

Benjamin Cullen 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 ID6901076926
PECOS Enrollment IDI20110831000350
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.

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.
24 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients
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.
21 services21 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63379 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1175 E CHERRY ST
TROY, MO 63379
Family Medicine
1175 E CHERRY ST
TROY, MO 63379
Specialist
1175 E CHERRY ST
TROY, MO 63379
Family Medicine
1175 E CHERRY ST
TROY, MO 63379
Clinic/Center
1175 E CHERRY ST
TROY, MO 63379

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 Benjamin Cullen's NPI number?

The NPI number for Benjamin Cullen is 1619182862. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Benjamin Cullen located?

Benjamin Cullen practices at 1175 E Cherry St, Troy, MO 63379. The listed phone number is (636) 528-8686.

What is Benjamin Cullen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Cullen enrolled in Medicare?

Yes. Benjamin Cullen 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 Benjamin Cullen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Benjamin Cullen 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 Benjamin Cullen affiliated with any hospitals?

According to CMS data, Benjamin Cullen is affiliated with Mercy Hospital St Louis and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Benjamin Cullen was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.