TIMOTHY CASEY MCCULLOUGH D.O.
NPI 1881808947
Urology in Johns Creek, GA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
10730 MEDLOCK BRIDGE RD STE 110, JOHNS CREEK, GA 30097(860) 886-1956 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2024, Sep 24, 2021, Apr 16, 2019 and 1 more (4 updates tracked since 2018).

About Timothy Casey Mccullough D.o. NPPES

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

TIMOTHY CASEY MCCULLOUGH D.O. (NPI 1881808947) is an individual urology provider in Johns Creek, Georgia, licensed in Georgia (78199) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1881808947
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTIMOTHY CASEY MCCULLOUGHCredential: D.O.
Location Address10730 MEDLOCK BRIDGE RD STE 110Johns Creek, GA 30097
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 691-0506
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 4, 20244 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1881808947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in GA · 78199
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.
10730 MEDLOCK BRIDGE RD STE 110, Johns Creek, GA 30097

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

Timothy Casey Mccullough D.o. 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 ID1951204668
PECOS Enrollment IDI20171107001170
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 22

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 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.
558 services353 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
294 services256 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
205 services176 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
172 services141 patients
Urinalysis for bacteria 81007
Urinalysis for bacteria is a test that checks your urine for the presence of bacteria. The test involves collecting a urine sample in a sterile container. The sample is then examined in a lab to identify any bacteria. This helps in diagnosing infections in the urinary system.
137 services124 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
108 services108 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers27 claims2,430 services$1.68 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers18 claims3,240 services$6.09 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 5

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

Urology
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Nurse Practitioner (Family)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097

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 Timothy Mccullough's NPI number?

The NPI number for Timothy Mccullough is 1881808947. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Timothy Mccullough located?

Timothy Mccullough practices at 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097. The listed phone number is (860) 886-1956.

What is Timothy Mccullough's specialty?

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

Is Timothy Mccullough enrolled in Medicare?

Yes. Timothy 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 Timothy Mccullough accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Timothy 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 Timothy Mccullough affiliated with any hospitals?

According to CMS data, Timothy Mccullough is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Timothy Mccullough was last updated on May 4, 2024. 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.