DR. IAN LAMBOURNE MCCULLOCH MD
NPI 1780212316
Surgery - Plastic and Reconstructive Surgery in Garden City, NY
About Dr. Ian Lambourne Mcculloch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IAN LAMBOURNE MCCULLOCH MD (NPI 1780212316) is an individual plastic and reconstructive surgery provider in Garden City, New York, licensed in New York (343659) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ian Lambourne Mcculloch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ian Mcculloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Garden City, NY 11530
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARDEN CITY, NY 11530
GARDEN CITY, NY 11530
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 Ian Mcculloch's NPI number?
The NPI number for Ian Mcculloch is 1780212316. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Ian Mcculloch located?
Ian Mcculloch practices at 999 Franklin Ave, Garden City, NY 11530. The listed phone number is (516) 742-3404.
What is Ian Mcculloch's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Ian Mcculloch enrolled in Medicare?
Yes. Ian Mcculloch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ian Mcculloch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ian Mcculloch reassigns Medicare benefits to Long Island Plastic Surgical Group, PC (Garden City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Mcculloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ian Mcculloch was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Ian Lambourne Mcculloch, MD · NPI 1780212316
Plastic and Reconstructive Surgery physician in Garden City, New York. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1780212316 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 343659 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 999 FRANKLIN AVE, Garden City, NY 11530-2913
- **Phone:** (516) 742-3404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Long Island Plastic Surgical Group, PC (NPI 1821164526, Garden City, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780212316) · Data from the CMS NPPES public registry.