LETITIA L MCCULLY PA-C
NPI 1780613547
Physician Assistant in Spokane Valley, WA

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216(509) 444-8200(509) 444-7806 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Letitia L Mccully Pa-c NPPES

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

LETITIA L MCCULLY PA-C (NPI 1780613547) is an individual physician assistant in Spokane Valley, Washington, licensed in Washington (PA10004606) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1780613547
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLETITIA L MCCULLYCredential: PA-C
Location Address15812 E INDIANA AVESpokane Valley, WA 99216-1875
Mailing Address203 N Washington StSpokane, WA 99201-0233 · (509) 444-8888 · Fax (509) 444-7806
Fax(509) 444-7806
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 12, 2018
NPI 1780613547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10004606
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.

15812 E INDIANA AVE, Spokane Valley, WA 99216

Other Identifiers 1

Medicaid8388431WA

Accepted 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

Letitia L Mccully Pa-c 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 ID1850386814
PECOS Enrollment IDI20091118000718
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
44 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$13.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers30 claims30 services$73.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.34 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers15 claims1,470 services$0.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$178.78 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$20.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Psychiatry & Neurology (Psychiatry)
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Family Medicine
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Social Worker (Clinical)
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Physician Assistant (Medical)
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Nurse Practitioner (Family)
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Registered Nurse
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Family Medicine
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780613547, enumerated as an "individual" on July 02, 2006.

The provider is located at 15812 E INDIANA AVE SPOKANE VALLEY, WA 99216 and the phone number is (509) 444-8200.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.