KYLE ALAN MCCULLOUGH (MD) – Student in an Organized Health Care Education/Training Program, NPI 1043743479
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for KYLE ALAN MCCULLOUGH (MD)
155, North Fresno Street, Fresno, Fresno County, California, 93701, United States
FRESNO, CA 937012302
Phone:
Type: Mailing
263 FARMINGTON AVE
FARMINGTON, CT 060301921
Phone: (860) 679-1411
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,275.
Total Amount is formed as General ($1,275) + Research ($0) + Ownership ($0) = $1,275.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($191).
Total Amount
$1,275
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $191 |
| Edwards Lifesciences Corporation | $177 |
| Bolton Medical Inc | $148 |
| W. L. Gore & Associates, Inc. | $147 |
| ABIOMED | $130 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240124002001 | I | General Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| General Surgery, Critical Care (Intensivists) | TX | |
| General Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| General Surgery | NY | |
| General Surgery, Emergency Medicine | TX |
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