Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUSAN C. CULLOM D.O.
NPI 1619947165
Family Medicine in Bethesda, MD

Q: What is Susan Cullom's NPI number?

The NPI number for Susan Cullom is 1619947165. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Susan Cullom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Cullom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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 January 26, 2006PECOS Enrolled

NATIONAL NAVAL MEDICAL CENTER, EXECUTIVE HEALTH CL, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889(301) 319-8283 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Apr 17, 2024 (2 updates tracked since 2024).

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About Dr. Susan C. Cullom D.o. NPPES

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

DR. SUSAN C. CULLOM D.O. (NPI 1619947165) is an individual family medicine provider in Bethesda, Maryland, licensed in Florida (OS 4857) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619947165

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUSAN C. CULLOMCredential: D.O.

Location AddressNATIONAL NAVAL MEDICAL CENTER, EXECUTIVE HEALTH CL, 8901 WISCONSIN AVENUEBethesda, MD 20889-0001

Mailing Address12646 Timonium TerNorth Potomac, MD 20878-3139 · (301) 990-0358

Phone(301) 319-8283

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1619947165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS 4857

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NATIONAL NAVAL MEDICAL CENTER, EXECUTIVE HEALTH CL, Bethesda, MD 20889

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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 (PECOS)

Dr. Susan C. Cullom D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20889 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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 Susan Cullom's NPI number?

The NPI number for Susan Cullom is 1619947165. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Susan Cullom located?

Susan Cullom practices at National Naval Medical Center, Executive Health Cl 8901 Wisconsin Avenue, Bethesda, MD 20889. The listed phone number is (301) 319-8283.

What is Susan Cullom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Cullom enrolled in Medicare?

Yes. Susan Cullom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Cullom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.