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LARRY D MCCULLUM
NPI 1669351896
Physician Assistant in Green Brook, NJ

Active since September 01, 2025PECOS EnrolledAccepts Medicare Assignment
1005 NORTH WASHINGTON AVENUE, GREEN BROOK, NJ 08812(732) 968-8900 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Sep 1, 2025 (2 updates tracked since 2025).

About Larry D Mccullum NPPES

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

LARRY D MCCULLUM (NPI 1669351896) is an individual physician assistant in Green Brook, New Jersey and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669351896
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLARRY D MCCULLUM
Location Address1005 NORTH WASHINGTON AVENUEGreen Brook, NJ 08812
Mailing Address62 Morris LanePiscataway, NJ 08854 · (732) 425-1421 · Fax (732) 425-1421
Phone(732) 968-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 1, 2025
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1669351896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1005 NORTH WASHINGTON AVENUE, Green Brook, NJ 08812
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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

Larry D Mccullum 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 ID2264910520
PECOS Enrollment IDI20260129001181
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 08812 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Larry Mccullum's NPI number?

The NPI number for Larry Mccullum is 1669351896. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Larry Mccullum located?

Larry Mccullum practices at 1005 North Washington Avenue, Green Brook, NJ 08812. The listed phone number is (732) 968-8900.

What is Larry Mccullum's specialty?

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

Is Larry Mccullum enrolled in Medicare?

Yes. Larry Mccullum 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.

When was this NPI record last updated?

The NPPES record for Larry Mccullum was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.