JOHN KEVIN CULHANE M.D.
NPI 1780624395
Family Medicine in Keshena, WI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
97.47/100
CMS Quality Rating
W3275 WOLF RIVER ROAD, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About John Kevin Culhane M.d. NPPES

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

JOHN KEVIN CULHANE M.D. (NPI 1780624395) is an individual family medicine provider in Keshena, Wisconsin, licensed in Wisconsin (30892-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1984).

NPPES Registry Identity

NPI1780624395
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN KEVIN CULHANECredential: M.D.
Location AddressW3275 WOLF RIVER ROADKeshena, WI 54135
Mailing AddressPo Box 970Keshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-3099
Fax(715) 799-3099
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1984
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1780624395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 30892-020
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.
W3275 WOLF RIVER ROAD, Keshena, WI 54135

Other Identifiers 1

Medicaid31595700WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Kevin Culhane M.d. 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 ID3072707892
PECOS Enrollment IDI20101104001492
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.

Medicare Billing Reassignment

Medicare enrollment records show John Culhane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
W3275 WOLF RIVER ROAD
Keshena, WI 54135
  • Reassigned Medicare billing, Wisconsin enrollment
  • 25 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54135 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

97.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality96.25
Promoting Interoperability90.63
Improvement Activities40

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.

Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Nurse Practitioner (Family)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Psychiatry & Neurology (Psychiatry)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Psychologist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
KESHENA, WI 54135
Clinic/Center (Family Planning, Non-Surgical)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Optometrist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135

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 John Culhane's NPI number?

The NPI number for John Culhane is 1780624395. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is John Culhane located?

John Culhane practices at W3275 Wolf River Road, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is John Culhane's specialty?

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

Is John Culhane enrolled in Medicare?

Yes. John Culhane 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.

Which organization bills Medicare for John Culhane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Culhane reassigns Medicare benefits to Menominee Indian Tribe Of Wisconsin (Keshena, WI). 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 John Culhane'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 John Culhane was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.