JAMES P. MCCULLOUGH (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1477573400
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
Provider Addresses for JAMES P. MCCULLOUGH (M.D.)
7950 W Jefferson Blvd
Fort Wayne, IN 468044140
Phone: (260) 435-2856
Type: Location
Shawnee Mission Post Office, 6029, Broadmoor Street, Mission, Johnson County, Kansas, 66202, United States
SHAWNEE MISSION, KS 662070210
Phone: (913) 338-4070
Fax: (913) 338-4245
Type: Mailing
Providence Medical Center, 8929, Parallel Parkway, Kansas City, Wyandotte County, Kansas, 66112, United States
KANSAS CITY, KS 661121689
Phone: (913) 596-4725
Fax: (913) 596-4728
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 $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($49).
Total Amount
$106
General + Research + Ownership
Payments
3
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $49 |
| Daiichi Sankyo Inc. | $35 |
| GlaxoSmithKline, LLC. | $22 |
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: 2025-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20060301000780 | I | Pathology | KS | TBD |
| I20250829003332 | I | Pathology | IN | TBD |
| I20250930002079 | I | Pathology | KY | TBD |
| I20251023003606 | I | Pathology | TN | 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 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TN | |
| - | TN | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | SC | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | AL | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | KY | |
| P A T H O L O G Y | MO | |
| - | TN |
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