KIMBERLY LYNN CULLEN (PA-C) – Physician Assistant, NPI 1558509125
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for KIMBERLY LYNN CULLEN (PA-C)
311 Marshall Ave
Sandusky, OH 448706904
Phone: (330) 257-2572
Type: Location
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 609-1112
Fax: (419) 502-3537
Type: Mailing
2500 W STRUB RD STE 350
SANDUSKY, OH 448705488
Phone: (419) 627-1471
Fax: (419) 627-8941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Organogenesis Inc. ($211).
Total Amount
$256
General + Research + Ownership
Payments
9
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $211 |
| LifeNet Health | $27 |
| Integra LifeSciences Corporation | $19 |
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: 2011-10-28
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 |
|---|---|---|---|---|
| I20111028000613 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 47 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 70 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 23 | 17 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 44870)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| - | OH | |
| Pulmonary Disease, Internal Medicine | OH | |
| - | OH |
Reviews
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