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ETHANY LEA CULLEN MD
NPI 1679771497
Radiology - Diagnostic Radiology in Byron, MN

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
421 12TH ST NW, BYRON, MN 55920(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethany Lea Cullen Md NPPES

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

ETHANY LEA CULLEN MD (NPI 1679771497) is an individual diagnostic radiology provider in Byron, Minnesota, licensed in Minnesota (51214) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679771497
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameETHANY LEA CULLENCredential: MD
Location Address421 12TH ST NWByron, MN 55920-1391
Mailing Address11995 Singletree Ln, Ste 500Eden Prairie, MN 55344-5347 · (952) 595-1301 · Fax (612) 294-4903
Phone(952) 595-1100
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateMay 22, 2014
✔ NPI 1679771497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MN · 51214
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
421 12TH ST NW, Byron, MN 55920
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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

Ethany Lea Cullen Md 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 ID7416022579
PECOS Enrollment IDI20250226001466
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.

Hospital Affiliations CMS Care Compare 3

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55920 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Ethany Cullen's NPI number?

The NPI number for Ethany Cullen is 1679771497. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Ethany Cullen located?

Ethany Cullen practices at 421 12th St NW, Byron, MN 55920. The listed phone number is (952) 595-1100.

What is Ethany Cullen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ethany Cullen enrolled in Medicare?

Yes. Ethany 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 Ethany Cullen accept?

Health plans from Blue Cross Blue Shield of North Dakota list Ethany 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 Ethany Cullen affiliated with any hospitals?

According to CMS data, Ethany Cullen is affiliated with Chi St Alexius Health, Sanford Medical Center Bismarck and Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for Ethany Cullen was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.