MATHEW R MCCULLOUGH (PA-C) – Medical Physician Assistant, NPI 1184189425
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MATHEW R MCCULLOUGH (PA-C)
19096 PINON DR
CEDAREDGE, CO 814138266
Phone: (303) 434-0539
Type: Mailing
255, Southwest 8th Avenue, Cedaredge, Delta County, Colorado, 81413, United States
CEDAREDGE, CO 814133902
Phone: (970) 856-3146
Fax: (970) 856-4385
Type: Location
308 Main St
Olathe, CO 814250529
Phone: (970) 323-6141
Fax: (855) 299-8071
Type: Location
1010 Rio Grande Ave
Montrose, CO 814014831
Phone: (970) 497-3333
Fax: (855) 299-7837
Type: Location
PO BOX 529
OLATHE, CO 814250529
Phone: (970) 323-6141
Fax: (855) 299-8071
Type: Mailing
1250 VALLEY VIEW DR
DELTA, CO 814163138
Phone: (970) 874-8981
Fax: (855) 299-7586
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($64).
Total Amount
$81
General + Research + Ownership
Payments
3
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $64 |
| Astellas Pharma US Inc | $18 |
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: 2020-04-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200424001281 | I | Physician Assistant | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 297 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 235 | 152 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 217 | 158 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | 133 | $0 |
| 83036 | Hemoglobin a1c level | 53 | 27 | $0 |
Insurance plans in this area (ZIP 81413)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Clinical Social Worker | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| Mental Health Counselor | CO | |
| Family Practice | OR |
Reviews
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