SUMNER R CULLOM M.D. NPI 1902885015

General Practice in Lepanto, AR

NPI 1902885015 Individual Male Years of Experience 50 General Practice PECOS Enrolled Accepts Medicare Approved Payment

About SUMNER CULLOM

Sumner Cullom is a primary care provider established in Lepanto, Arkansas and his medical specialization is general practice with more than 50 years of experience. He graduated from University Of Arkansas College Of Medicine in 1972. The NPI number of Sumner Cullom is 1902885015 and was assigned on January 2006. The practitioner's primary taxonomy code is 208D00000X with license number ARC4583 (AR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A primary care provider (PCP) like Sumner R Cullom M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Sumner Cullom is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Sumner Cullom is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Bernards Medical Center, South Mississippi County Regional Medical Center, Great River Medical Center and Baptist Memorial Hospital Jonesboro, Inc..

NPI

1902885015

Provider Name SUMNER R CULLOM M.D.
Provider Location Address260 W BROAD ST LEPANTO, AR 72354
Provider Mailing Address260 W BROAD ST LEPANTO, AR 72354
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year1972
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-17-2006
Last Update Date03-18-2016


Primary Taxonomy

Taxonomy Code208D00000X
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians
License No.ARC4583
License StateAR

Business Address

SUMNER R CULLOM M.D.
260 W BROAD ST
LEPANTO, AR
ZIP 72354
Phone: (870) 475-3180
Fax: (870) 475-3185

Get Directions


Mailing Address

SUMNER R CULLOM M.D.
260 W BROAD ST
LEPANTO, AR
ZIP 72354
Phone: (870) 475-3180
Fax: (870) 475-3185



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4385556364
PECOS Enrollment IDI20051102000768
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 4037Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 1376Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 914Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 295X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 174Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 131X-ray of abdomen, single view (HCPCS:74000)
  • 113Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 91Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 74Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 67Administration of influenza virus vaccine (HCPCS:G0008)
  • 53X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 44X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 20X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 19Automated urinalysis test (HCPCS:81003)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sumner Cullom is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST BERNARDS MEDICAL CENTER225 E WASHIINGTON AVENUE
JONESBORO, AR 72401
(870) 972-4100Acute Care Hospitals40020
SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER611 WEST LEE AVENUE
OSCEOLA, AR 72370
(870) 563-7000Critical Access Hospitals41316
GREAT RIVER MEDICAL CENTER1520 N DIVISION STREET
BLYTHEVILLE, AR 72315
(870) 838-7300Acute Care Hospitals40069
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC.4800 EAST JOHNSON AVENUE
JONESBORO, AR 72405
(870) 972-7000Acute Care Hospitals40118

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
103504001MEDICAID (05)AR

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.