DR. ANDREA BOSS MCCULLOUGH (MD) – Physical Medicine & Rehabilitation Physician, NPI 1063073831
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 PHYSICAL MEDICINE AND REHABILITATION in MO
Provider Addresses for DR. ANDREA BOSS MCCULLOUGH (MD)
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101010
Phone: (314) 362-5000
Type: Mailing
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 362-5000
Type: Location
900 CIRCLE 75 PKWY SE STE 1700
ATLANTA, GA 303393087
Phone: (770) 953-6929
Fax: (770) 953-6972
Type: Mailing
1700 TREE LN STE 300
SNELLVILLE, GA 300786747
Phone: (678) 205-4299
Fax: (678) 214-6112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Amgen Inc. ($22).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $22 |
| Supernus Pharmaceuticals, Inc. | $21 |
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: 2024-10-17
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 |
|---|---|---|---|---|
| I20241017001420 | I | Physical Medicine And Rehabilitation | GA | 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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| - | GA | |
| Orthopedic Surgery, Hand Surgery | FL | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| Physician Assistant | GA |
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