DR. KEANE EMILE MCCULLUM MD
NPI 1841793510
Obstetrics & Gynecology in Columbia, MO
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 and is a graduate of Pennsylvania State University College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Dr. Keane Emile Mccullum Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Keane Mccullum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MO 65201
- Reassigned Medicare billing, Missouri enrollment
- 17 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- 562 clinicians in this Medicare group
East Lansing, MI 48824
- Reassigned Medicare billing, Michigan enrollment
- 56 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 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.
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.
COLUMBIA, MO 65201
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Keane Mccullum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keane Mccullum reassigns Medicare benefits to 3 organizations: Women's Health Associates, Inc. (Columbia, MO), Mercy Clinic Joplin LLC (Carthage, MO) and Upper Great Lakes Family Health Center (East Lansing, MI). Each 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 Keane Mccullum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keane Mccullum accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 10 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.
# Dr. Keane Emile Mccullum, MD · NPI 1841793510
Obstetrics & Gynecology physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since March 8, 2018.
## Identity
- **NPI:** 1841793510 (Entity type: Individual)
- **Enumerated:** March 8, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 20964 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 E BROADWAY STE 100, Columbia, MO 65201-5821
- **Phone:** (573) 443-8796 · **Fax:** (573) 443-8796
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Women's Health Associates, Inc. (NPI 1417926676, Columbia, MO); Mercy Clinic Joplin LLC (NPI 1477822567, Carthage, MO); Upper Great Lakes Family Health Center (NPI 1659889673, East Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 17, 2025
- **Other identifiers:** Other NAD000
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Source: [NPI Profile](https://npiprofile.com/npi/1841793510) · Data from the CMS NPPES public registry.