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DR. KEANE EMILE MCCULLUM MD
NPI 1841793510
Obstetrics & Gynecology in Columbia, MO

Active since March 08, 2018PECOS Enrolled
1601 E BROADWAY STE 100, COLUMBIA, MO 65201(573) 443-8796(573) 443-8796 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 17, 2025, Sep 5, 2025, Aug 11, 2025 and 6 more (9 updates tracked since 2018).

About Dr. Keane Emile Mccullum Md NPPES

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

DR. KEANE EMILE MCCULLUM MD (NPI 1841793510) is an individual obstetrics & gynecology provider in Columbia, Missouri, licensed in Hawaii (20964) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841793510
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEANE EMILE MCCULLUMCredential: MD
Location Address1601 E BROADWAY STE 100Columbia, MO 65201-5821
Mailing Address1601 E Broadway Ste 100Columbia, MO 65201-5821 · (573) 443-8796 · Fax (573) 443-0737
Phone(573) 443-8796
Fax(573) 443-8796
Sole ProprietorNo
Enumeration DateMarch 8, 2018
Last NPPES UpdateDecember 17, 20259 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1841793510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in HI · 20964
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1601 E BROADWAY STE 100, Columbia, MO 65201
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Other Identifiers 1

OtherNAD000Medicare Upin

Accepted Insurance

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

Dr. Keane Emile Mccullum Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS A MORTON M.D.
Obstetrics & Gynecology
1601 E BROADWAY STE 100
COLUMBIA, MO 65201
Boone County (573) 443-8796
MRS. CHRISTINA LYNN BERSANO MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1601 E BROADWAY STE 100
COLUMBIA, MO 65201
Boone County (573) 443-8796
DARRAH BERCK M.D.
Obstetrics & Gynecology
1601 E BROADWAY STE 100
COLUMBIA, MO 65201
Boone County (573) 443-8796

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 Keane Mccullum's NPI number?

The NPI number for Keane Mccullum is 1841793510. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Keane Mccullum located?

Keane Mccullum practices at 1601 E Broadway Ste 100, Columbia, MO 65201. The listed phone number is (573) 443-8796.

What is Keane Mccullum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Keane Mccullum enrolled in Medicare?

Yes. Keane Mccullum is registered in the Medicare PECOS enrollment system.

What insurance does Keane Mccullum accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Keane Mccullum 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 Keane Mccullum was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.