STEVEN J MCCULLOUGH DO
NPI 1780753988
Internal Medicine in Paducah, KY

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
76.82/100
CMS Quality Rating
225 MEDICAL CENTER DR, SUITE 304, PADUCAH, KY 42003(270) 538-5596(270) 538-5597 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Steven J Mccullough Do NPPES

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

STEVEN J MCCULLOUGH DO (NPI 1780753988) is an individual internal medicine provider in Paducah, Kentucky, licensed in Kentucky (02706) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1780753988
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEVEN J MCCULLOUGHCredential: DO
Location Address225 MEDICAL CENTER DR, SUITE 304Paducah, KY 42003-7914
Mailing AddressPo Box 636961Cincinnati, OH 45263-6961 · (270) 538-5596 · Fax (270) 538-5597
Fax(270) 538-5597
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1998
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
NPI 1780753988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 02706
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 02706 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 02706 (KY)
225 MEDICAL CENTER DR, Paducah, KY 42003

Secondary Practice Location 1

Location 1803 Poplar StMurray, KY 42071-2432 · Phone (270) 762-1100

Other Identifiers 1

Medicaid64069461KY

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

Steven J Mccullough Do 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 ID6800943481
PECOS Enrollment IDI20090428000505
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
397 services172 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
317 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
141 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

76.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.18
Promoting Interoperability99
Improvement Activities40
Cost49.4

Referred Medical Equipment & Supplies CMS DME claims 4

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
2 suppliers23 claims23 services$16.96 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
5 suppliers61 claims61 services$913.97 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
2 suppliers41 claims41 services$108.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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.

Nurse Practitioner (Family)
225 MEDICAL CENTER DR, SUITE 402
PADUCAH, KY 42003
Family Medicine
225 MEDICAL CENTER DR, SUITE 209B
PADUCAH, KY 42003
Specialist
225 MEDICAL CENTER DR, SUITE 208R
PADUCAH, KY 42003
Orthopaedic Surgery
225 MEDICAL CENTER DR, SUITE 406
PADUCAH, KY 42003
Nurse Practitioner (Family)
225 MEDICAL CENTER DR, SUITE 205
PADUCAH, KY 42003
Nurse Practitioner (Family)
225 MEDICAL CENTER DR
PADUCAH, KY 42003
Physiological Laboratory
225 MEDICAL CENTER DR
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR
PADUCAH, KY 42003

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 Steven Mccullough's NPI number?

The NPI number for Steven Mccullough is 1780753988. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Steven Mccullough located?

Steven Mccullough practices at 225 Medical Center Dr Suite 304, Paducah, KY 42003. The listed phone number is (270) 538-5596.

What is Steven Mccullough's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Steven Mccullough enrolled in Medicare?

Yes. Steven 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.

What insurance does Steven Mccullough accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Steven Mccullough 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 Steven Mccullough affiliated with any hospitals?

According to CMS data, Steven Mccullough is affiliated with Mercy Health - Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Steven Mccullough was last updated on September 17, 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.