MACKENZIE ALLEN MCCULLOUGH MD
NPI 1902479231
Family Medicine in Edmond, OK
About Mackenzie Allen Mccullough Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE ALLEN MCCULLOUGH MD (NPI 1902479231) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (38220) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mackenzie Allen Mccullough 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 Reassignment
Medicare enrollment records show Mackenzie Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Oklahoma City, Inc
Acute Care Hospitals · Oklahoma City, OKO U Medical Center
Acute Care Hospitals · Oklahoma City, OKMercy Hospital Guthrie
Critical Access Hospitals · Guthrie, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73034 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mackenzie Mccullough's NPI number?
The NPI number for Mackenzie Mccullough is 1902479231. It was assigned to this individual provider in the NPPES registry on July 23, 2021.
Where is Mackenzie Mccullough located?
Mackenzie Mccullough practices at 301 E Waterloo Rd, Edmond, OK 73034. The listed phone number is (405) 715-2000.
What is Mackenzie Mccullough's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mackenzie Mccullough enrolled in Medicare?
Yes. Mackenzie 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.
Which organization bills Medicare for Mackenzie Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Mccullough reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (Oklahoma City, OK). The 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 Mackenzie Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Mccullough accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mackenzie 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 Mackenzie Mccullough affiliated with any hospitals?
According to CMS data, Mackenzie Mccullough is affiliated with Mercy Hospital Oklahoma City, Inc, O U Medical Center and Mercy Hospital Guthrie.
When was this NPI record last updated?
The NPPES record for Mackenzie Mccullough was last updated on August 26, 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.
# Mackenzie Allen Mccullough, MD · NPI 1902479231
Family Medicine physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since July 23, 2021.
## Identity
- **NPI:** 1902479231 (Entity type: Individual)
- **Enumerated:** July 23, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38220 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E WATERLOO RD, Edmond, OK 73034-8196
- **Phone:** (405) 715-2000
## 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:** Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902479231) · Data from the CMS NPPES public registry.