KEVIN MCCULLUM MD NPI 1063518975

NPI Information

  • NPI: 1063518975
  • Provider Name: KEVIN MCCULLUM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 96 COURT ST
    PLATTSBURGH, NY
    ZIP 12901
  • Phone: (518) 562-1080

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NPI Details

Kevin Mccullum, MD is a family medicine in Plattsburgh, NY with 42 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kevin Mccullum, MD NPI is 1063518975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:1984

The provider's business location address is:

96 COURT ST
PLATTSBURGH, NY
ZIP 12901-733
Phone: (518) 562-1080
Fax: (518) 562-3316

The NPI 1063518975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine164868NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101279267MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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