DR. ROBYN MARIE MCCULLEM (M.D.) – Dermatology Physician, NPI 1598749467

DR. ROBYN MARIE MCCULLEM (M.D.) is a healthcare provider. based in Jefferson city, Missouri. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME94433 (FL). The NPI Number for DR. ROBYN MARIE MCCULLEM (M.D.) is 1598749467

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBYN MARIE MCCULLEM (M.D.)
NPI
1598749467
Phone
(573) 556-7719
Address
1241 WEST STADIUM BLVD
Enumeration Date
2 December 2005
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5735565771
Graduation Year
2004 (22 years ago)
PAC ID
6103837182
Group Practice PAC ID
1850371089
Professional Enrollment ID
I20080917000598
Address ID
MO651096023JE1241XBLVD400

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

337 DERMATOLOGY in MO

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Provider Addresses for DR. ROBYN MARIE MCCULLEM (M.D.)

  • JCMG Medical Building, 1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 65109

    Phone: (573) 556-7719

    Fax: (573) 635-2156

    Type: Location

  • PO BOX 104240

    JEFFERSON CITY, MO 65110

    Phone: (573) 635-5264

    Fax: (573) 635-2156

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,301.

Total Amount is formed as General ($1,301) + Research ($0) + Ownership ($0) = $1,301.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($478).

Total Amount

$1,301

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-09-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080917000598IDermatologyMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,069349$0
99213Established patient office or other outpatient visit, 20-29 minutes703570$0
17000Destruction of precancer skin growth, 1 growth533423$0
88305Pathology examination of tissue using a microscope, intermediate complexity324219$0
17110Destruction of skin growth, 1-14 growths307271$0
View full utilization report →

Insurance plans in this area (ZIP 65109)

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Provider's Procedures

DR. ROBYN MARIE MCCULLEM (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO11101Biopsy of each additional growth of skin and/or tissue6853
DERMATOLOGYMO17003Destruction of 2-14 skin growths3502592

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: 1850371089View full group profile
NameSpecialtyState
Neuropsychiatry, NeurologyMO
Certified Registered Nurse Anesthetist (Crna)MO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Internal MedicineMO
Family PracticeMO
Neuropsychiatry, NeurologyMO
-MO
A L L E R G Y/ I M M U N O L O G YWA
Nurse PractitionerMO

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Frequently asked questions

Where can patients find DR. ROBYN MARIE MCCULLEM (M.D.)'s NPI?
You can confirm DR. ROBYN MARIE MCCULLEM (M.D.) with NPI 1598749467; it appears in the national provider directory.
Does this profile mean DR. ROBYN MARIE MCCULLEM (M.D.) is currently active?
Yes — DR. ROBYN MARIE MCCULLEM (M.D.) appears active in the national provider directory.
Can you summarize DR. ROBYN MARIE MCCULLEM (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ROBYN MARIE MCCULLEM (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBYN MARIE MCCULLEM (M.D.)?
We surface Jefferson City, Missouri for DR. ROBYN MARIE MCCULLEM (M.D.) based on available NPPES addresses.
What if Jefferson City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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