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DR. MICHAEL REID MCCULLOUGH DO
NPI 1932135704
Obstetrics & Gynecology - Obstetrics in Grand Prairie, TX

Active since June 24, 2006PECOS Enrolled
643 S GREAT SOUTHWEST PKWY, SUITE 101, GRAND PRAIRIE, TX 75051(972) 988-1588(972) 602-0615 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2022, Jan 13, 2022, Aug 7, 2019 (3 updates tracked since 2019).

About Dr. Michael Reid Mccullough Do NPPES

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

DR. MICHAEL REID MCCULLOUGH DO (NPI 1932135704) is an individual obstetrics provider in Grand Prairie, Texas, licensed in Texas (H9682) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932135704
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. MICHAEL REID MCCULLOUGHCredential: DO
Location Address643 S GREAT SOUTHWEST PKWY, SUITE 101Grand Prairie, TX 75051-1056
Mailing Address643 S Great Southwest Pkwy, Suite 101Grand Prairie, TX 75051-1056 · (972) 988-1588 · Fax (972) 602-0615
Phone(972) 988-1588
Fax(972) 602-0615
Sole ProprietorYes
Enumeration DateJune 24, 2006
Last NPPES UpdateJanuary 18, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1932135704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in TX · H9682
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License H9682 (TX)
643 S GREAT SOUTHWEST PKWY, Grand Prairie, TX 75051
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Other Identifiers 6

Other033519201TX · Tpi
Medicaid033519201TX
OtherG74VTX · Blue Cross Blue Shield Id
Other10028878TX · Amerigroup Id
Medicaid1275832362TX
Other4250747TX · Aetna Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Reid Mccullough Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75051 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 3

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

GREAT SOUTHWEST MEDICAL LLC
Clinic/Center (Health Service)
643 S GREAT SOUTHWEST PKWY, SUITE 104
GRAND PRAIRIE, TX 75051
Dallas County (214) 363-5400
MICHAEL R. MCCULLOUGH, D.O., P.A.
Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051
Dallas County (972) 602-0615
RALPH THANE WIEGMAN MD
Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, STE 102
GRAND PRAIRIE, TX 75051
Dallas County (972) 647-0994

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 Michael Mccullough's NPI number?

The NPI number for Michael Mccullough is 1932135704. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Michael Mccullough located?

Michael Mccullough practices at 643 S Great Southwest Pkwy Suite 101, Grand Prairie, TX 75051. The listed phone number is (972) 988-1588.

What is Michael Mccullough's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Michael Mccullough enrolled in Medicare?

Yes. Michael Mccullough is registered in the Medicare PECOS enrollment system.

What insurance does Michael Mccullough accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Mccullough was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.