KEVIN PATRICK MCMULLEN MD NPI 1093797045

NPI Information

  • NPI: 1093797045
  • Provider Name: KEVIN PATRICK MCMULLEN, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 557 BROOKDALE DR
    STATESVILLE, NC
    ZIP 28677
  • Phone: (704) 878-4615

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NPI Details

Kevin Patrick Mcmullen, MD is a radiation oncology radiology in Statesville, NC with 32 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Kevin Patrick Mcmullen, MD NPI is 1093797045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

557 BROOKDALE DR
STATESVILLE, NC
ZIP 28677-107
Phone: (704) 878-4615
Fax: (704) 878-7193

The NPI 1093797045 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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • 3d radiation therapy planning (HCPCS:77295)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Special radiation treatment (HCPCS:77470)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 12/11/2024.

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
12085R0001XRadiologyRadiation Oncology9900941NORTH CAROLINAYes

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
12004948000MEDICAIDWEST VIRGINIA
2201037980MEDICAIDINDIANA
3P01420734OTHERINDIANARAILROAD MEDICARE
47957688OTHERAETNA
5802872OTHERNORTH CAROLINAPARTNERS
6Q0094CMEDICAIDSOUTH CAROLINA
710001251MEDICAIDVIRGINIA
81333UOTHERNORTH CAROLINABCBS
9891333UMEDICAIDNORTH CAROLINA
10000000746372OTHERINDIANAANTHEM
11000000990588OTHERINDIANAANTHEM PIN
12C6010OTHERNORTH CAROLINAMEDCOST

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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