DR. JAMES W MCCULLOUGH MD
NPI 1679937353
Family Medicine in Pueblo West, CO

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
729 E SPAULDING AVE, PUEBLO WEST, CO 81007(719) 547-9119 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Jun 15, 2023, May 3, 2023 and 2 more (5 updates tracked since 2018).

About Dr. James W Mccullough Md NPPES

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

DR. JAMES W MCCULLOUGH MD (NPI 1679937353) is an individual family medicine provider in Pueblo West, Colorado, licensed in Colorado (DR.0067657) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679937353
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES W MCCULLOUGHCredential: MD
Location Address729 E SPAULDING AVEPueblo West, CO 81007-3512
Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateNovember 15, 20235 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
NPI 1679937353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0067657
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.
Also ListedHospitalistTaxonomy 208M00000X · License DR.0067657 (CO)
729 E SPAULDING AVE, Pueblo West, CO 81007

Secondary Practice Locations 2

Location 14112 Outlook Blvd Ste 303Pueblo, CO 81008-1667 · Phone (719) 557-8600
Location 21008 Minnequa AvePueblo, CO 81004-3733 · Phone (719) 776-8040

Other Identifiers 1

Medicaid9000183241CO

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

Dr. James W Mccullough 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 ID2860786902
PECOS Enrollment IDI20230630003281
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 12

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 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.
248 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 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.
29 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81007 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Family Medicine
729 E SPAULDING AVE
PUEBLO WEST, CO 81007
Family Medicine
729 E SPAULDING AVE
PUEBLO WEST, CO 81007
Clinic/Center (Radiology)
729 E SPAULDING AVE
PUEBLO, CO 81007
Family Medicine
729 E SPAULDING AVE
PUEBLO WEST, CO 81007
Pediatrics
729 E SPAULDING AVE
PUEBLO, CO 81007
Family Medicine
729 E SPAULDING AVE
PUEBLO, CO 81007
Internal Medicine
729 E SPAULDING AVE
PUEBLO WEST, CO 81007
Family Medicine
729 E SPAULDING AVE
PUEBLO WEST, CO 81007

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 James Mccullough's NPI number?

The NPI number for James Mccullough is 1679937353. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is James Mccullough located?

James Mccullough practices at 729 E Spaulding Ave, Pueblo West, CO 81007. The listed phone number is (719) 547-9119.

What is James Mccullough's specialty?

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

Is James Mccullough enrolled in Medicare?

Yes. James Mccullough 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 James Mccullough was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.