MR. HUGH CHARLES MCCULLOUGH PA-C
NPI 1891068052
Physician Assistant in South Boston, VA

Q: What is Hugh Mccullough's NPI number?

The NPI number for Hugh Mccullough is 1891068052. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Q: What is Hugh Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Hugh Mccullough was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 20, 2012PECOS EnrolledAccepts Medicare Assignment

2210 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 575-5864 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Hugh Charles Mccullough Pa-c NPPES

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

MR. HUGH CHARLES MCCULLOUGH PA-C (NPI 1891068052) is an individual physician assistant in South Boston, Virginia, licensed in Virginia (0110003825) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891068052

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. HUGH CHARLES MCCULLOUGHCredential: PA-C

Location Address2210 WILBORN AVESouth Boston, VA 24592-1630

Mailing Address7203 Quincy AveFalls Church, VA 22042-1621

Phone(434) 575-5864

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateFebruary 20, 2012

✔ NPI 1891068052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110003825

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2210 WILBORN AVE, South Boston, VA 24592

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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

Mr. Hugh Charles Mccullough Pa-c 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 ID4587803846

PECOS Enrollment IDI20141103000145

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.

Hospital Affiliations CMS Care Compare

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$68.39 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers28 claims28 services$21.25 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$3.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers28 claims28 services$118.95 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$28.65 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$9.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

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

ALEXIS LEIGH COLEMAN PA

Physician Assistant (Medical)