SUMNER R CULLOM M.D. NPI 1902885015

NPI Information

  • NPI: 1902885015
  • Provider Name: SUMNER R CULLOM, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 260 W BROAD ST
    LEPANTO, AR
    ZIP 72354
  • Phone: (870) 475-3180

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NPI Details

Sumner R Cullom, M.D. is a general practice in Lepanto, AR with 54 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Sumner R Cullom, M.D. NPI is 1902885015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1972

The provider's business location address is:

260 W BROAD ST
LEPANTO, AR
ZIP 72354-723
Phone: (870) 475-3180
Fax: (870) 475-3185

The NPI 1902885015 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.

  • Injection, testosterone cypionate, 1 mg (HCPCS:J1071)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Automated urinalysis test (HCPCS:81003)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Blood test, clotting time (HCPCS:85610)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Injection, promethazine hcl, up to 50 mg (HCPCS:J2550)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Test for detection of infectious agent antibody, qualitative or semiquantitative (HCPCS:86318)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/17/2006 and was last updated on 3/18/2016.

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
1208D00000XGeneral PracticeARC4583ARKANSASYes

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
1103504001MEDICAIDARKANSAS

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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