DR. EDITH M CULLEN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1720073521

DR. EDITH M CULLEN (M.D.) is a healthcare provider. based in Elkhart, Indiana. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01061215A (IN). The NPI Number for DR. EDITH M CULLEN (M.D.) is 1720073521

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDITH M CULLEN (M.D.)
NPI
1720073521
Phone
(574) 264-4163
Address
2310 CALIFORNIA RD
Enumeration Date
19 September 2005
Last Update Date
23 October 2013

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5745330300
Graduation Year
2004 (22 years ago)
PAC ID
2668610734
Group Practice PAC ID
0840260105
Professional Enrollment ID
I20130906000696
Address ID
IN465266308GO1775XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for DR. EDITH M CULLEN (M.D.)

  • California Road, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465141228

    Phone: (574) 264-4163

    Fax: (574) 262-9650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Radius Health, Inc. ($31).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130906000696IFamily PracticeINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3111Injection, romosozumab-aqqg, 1 mg42,63344$0
J0897Injection, denosumab, 1 mg10,140102$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,561115$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg794136$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg77011$0
View full utilization report →

Insurance plans in this area (ZIP 46514)

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Provider's Procedures

DR. EDITH M CULLEN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN73630X-ray of foot, minimum of 3 views2316

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840260105View full group profile
NameSpecialtyState
-IN
Sports Medicine, Family PracticeIN
Occupational Therapist In Private PracticeIL
P O D I A T R YIN
Orthopedic SurgeryIN
Sports Medicine, Orthopedic SurgeryIN
Orthopedic SurgeryIN
Physician AssistantIN
Pain Management, AnesthesiologyIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I cross-check DR. EDITH M CULLEN (M.D.) using NPI 1720073521?
NPI 1720073521 belongs to DR. EDITH M CULLEN (M.D.); compare other details if you need extra assurance.
Is DR. EDITH M CULLEN (M.D.) still an active registrant?
DR. EDITH M CULLEN (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. EDITH M CULLEN (M.D.)'s focus?
For DR. EDITH M CULLEN (M.D.), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. EDITH M CULLEN (M.D.) located near Elkhart?
DR. EDITH M CULLEN (M.D.) currently maps to Elkhart, Indiana in this extract.
Does DR. EDITH M CULLEN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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