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ANDREW RICHARD MCCULLOUGH M.D.
NPI 1831183631
Urology in Albany, NY

Active since September 07, 2005PECOS Enrolled
91.41/100
CMS Quality Rating
23 HACKETT BLVD, ALBANY, NY 12208(518) 262-3341(518) 262-6660 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Richard Mccullough M.d. NPPES

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

ANDREW RICHARD MCCULLOUGH M.D. (NPI 1831183631) is an individual urology provider in Albany, New York, licensed in New York (194809) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831183631
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameANDREW RICHARD MCCULLOUGHCredential: M.D.
Location Address23 HACKETT BLVDAlbany, NY 12208
Mailing Address711 Troy - Schenectady Rd, Suite 203Latham, NY 12110 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 262-3341
Fax(518) 262-6660
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateApril 8, 2011
✔ NPI 1831183631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 194809
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

23 HACKETT BLVD, Albany, NY 12208
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Other Identifiers 4

Medicare UPINB39544NY
Medicaid01523642NY
Medicare PINJ400039832NY
Medicare ID-Type Unspecified19D311NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Richard Mccullough M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
106 services74 patients
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.
34 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
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.

LAWRENCE R MARWILL M.D.
Ophthalmology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 449-5417
REBECCA LEIGH O'MALLEY MD
Urology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
DR. ROBERT CHARLES WELLIVER JR. MD
Urology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
KATHRYN DOHERTY
Student in an Organized Health Care Education/Training Program
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3296
JEAN G. HOLLOWELL M.D.
Urology (Pediatric Urology)
23 HACKETT BLVD, MC 208
ALBANY, NY 12208
Albany County (518) 262-3341
DANA W PARAVELLA PHYSICIANS ASSISTANT
Physician Assistant
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
AISHA O KAZEEM
Student in an Organized Health Care Education/Training Program
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3296
AMANDA GRAFF PA-C
Physician Assistant
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341

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 Andrew Mccullough's NPI number?

The NPI number for Andrew Mccullough is 1831183631. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Andrew Mccullough located?

Andrew Mccullough practices at 23 Hackett Blvd, Albany, NY 12208. The listed phone number is (518) 262-3341.

What is Andrew Mccullough's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Andrew Mccullough enrolled in Medicare?

Yes. Andrew Mccullough is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Mccullough accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Mccullough was last updated on April 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.