DR. RUSSELL WADE MCCULLOUGH (DO) – Gastroenterology Physician, NPI 1346223468
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
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Provider Addresses for DR. RUSSELL WADE MCCULLOUGH (DO)
3601, Northeast Ralph Powell Road, Chapel Ridge Business Park, Lee's Summit, Jackson County, Missouri, 64064, United States
LEES SUMMIT, MO 640642357
Phone: (816) 251-1200
Fax: (816) 251-1280
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 21 Open Payments records for all available years, with a total value of $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($242).
Total Amount
$371
General + Research + Ownership
Payments
21
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040826000360 | I | Gastroenterology | MO | TBD |
| I20050919000492 | I | Gastroenterology | KS | 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 |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 245 | 35 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 143 | 141 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 140 | 36 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 100 | 99 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 87 | 87 | $0 |
Insurance plans in this area (ZIP 64064)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| Gastroenterology, Internal Medicine | MO | |
| - | KS | |
| Nurse Practitioner | MO | |
| Gastroenterology, Internal Medicine | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Internal Medicine, Gastroenterology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
Reviews
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