DR. MARGY ELISE MCCULLOUGH-HICKS M.D.
NPI 1861805004
Psychiatry & Neurology - Neurology in Minneapolis, MN

Q: What is Margy Mccullough-hicks's NPI number?

The NPI number for Margy Mccullough-hicks is 1861805004. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Margy Mccullough-hicks's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment

81.72/100

CMS Quality Rating

420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 672-7422 Get Directions Write a Review

NPPES record last updated: July 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2020, Jul 9, 2019 (2 updates tracked since 2019).

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About Dr. Margy Elise Mccullough-hicks M.d. NPPES

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

DR. MARGY ELISE MCCULLOUGH-HICKS M.D. (NPI 1861805004) is an individual neurology provider in Minneapolis, Minnesota, licensed in Minnesota (67774) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1861805004

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARGY ELISE MCCULLOUGH-HICKSCredential: M.D.

Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341

Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 672-7422

Phone(612) 672-7422

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 2014

Enumeration DateJune 5, 2014

Last NPPES UpdateJuly 3, 20202 updates tracked since enumeration

NPPES CertifiedJuly 3, 2020

✔ NPI 1861805004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in MN · 67774✔ Licensed in CA · A155647

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

420 DELAWARE ST SE, Minneapolis, MN 55455

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Dr. Margy Elise Mccullough-hicks 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 ID9436460029

PECOS Enrollment IDI20200714000070

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 3

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.

48 services29 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.

37 services37 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.

24 services21 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240078

Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

81.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.86

Promoting Interoperability

100

Improvement Activities

Cost

59.73

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.

KHALID AMIN MD

Pathology (Anatomic Pathology & Clinical Pathology)

420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455

Hennepin County (913) 827-3505

MELISSA RICHARDSON PA-C

Physician Assistant

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-3000

DR. RAID SAID MOUSA YOUSEF M.D.

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-7911

DR. DAVID YOUNG BALSER MD

Physical Medicine & Rehabilitation

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2661

ALEXANDER TROESTER

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-6483

NIKITHA VOBUGARI MD

Internal Medicine (Hematology & Oncology)

420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-0400

THOMAS HOUGHLAND MD

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-5589

DR. ANUSHA L GOPALAM MD

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-5454

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 Margy Mccullough-hicks's NPI number?

The NPI number for Margy Mccullough-hicks is 1861805004. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Margy Mccullough-hicks located?

Margy Mccullough-hicks practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.

What is Margy Mccullough-hicks's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Margy Mccullough-hicks enrolled in Medicare?

Yes. Margy Mccullough-hicks 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 Margy Mccullough-hicks accept?

Health plans from Medica and Sanford Health Plan list Margy Mccullough-hicks 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 Margy Mccullough-hicks affiliated with any hospitals?

According to CMS data, Margy Mccullough-hicks is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Margy Mccullough-hicks was last updated on July 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.