DR. BRENT ELLIS CULLY (M.D.) – Diagnostic Radiology Physician, NPI 1114921533

DR. BRENT ELLIS CULLY (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 2000146371 (MO). The NPI Number for DR. BRENT ELLIS CULLY (M.D.) is 1114921533

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT ELLIS CULLY (M.D.)
NPI
1114921533
Phone
(816) 701-5200
Address
2401 GILLHAM RD
Enumeration Date
13 June 2005
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8162343000
Graduation Year
1998 (28 years ago)
PAC ID
1850282898
Group Practice PAC ID
2466366026
Professional Enrollment ID
I20040322000286
Address ID
MO641084619KA2401XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. BRENT ELLIS CULLY (M.D.)

  • Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States

    PROVIDER ENROLLMENT DEPT

    KANSAS CITY, MO 641084619

    Phone: (816) 701-5200

    Fax: (816) 302-9939

    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 19 Open Payments records for all available years, with a total value of $2,653.

Total Amount is formed as General ($2,653) + Research ($0) + Ownership ($0) = $2,653.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GE HealthCare ($1,125).

Total Amount

$2,653

General + Research + Ownership

Payments

19

Total payment records

General Amount

$2,653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-03-22

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
I20040322000286IDiagnostic RadiologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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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: 2466366026View full group profile
NameSpecialtyState
Diagnostic Radiology, Radiation OncologyMO
Pediatric MedicineTX
Anesthesiology, Cardiovascular Disease (Cardiology)KS
-MO
Diagnostic RadiologyMO
Urology, Pediatric MedicineMO
Diagnostic RadiologyMO
Pediatric Medicine, Emergency MedicineMO
-MO
-IA

Reviews

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Frequently asked questions

Is DR. BRENT ELLIS CULLY (M.D.) listed with a National Provider Identifier?
Yes — DR. BRENT ELLIS CULLY (M.D.) has NPI 1114921533 on file in the registry.
Would DR. BRENT ELLIS CULLY (M.D.) appear as active to a payer?
You can treat DR. BRENT ELLIS CULLY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BRENT ELLIS CULLY (M.D.)?
DR. BRENT ELLIS CULLY (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRENT ELLIS CULLY (M.D.) associated with Kansas City?
Public fields place DR. BRENT ELLIS CULLY (M.D.) around Kansas City, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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