DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) – Obstetrics & Gynecology Physician, NPI 1740287572

DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) is a healthcare provider. based in Miamisburg, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 35-049602 (OH). The NPI Number for DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) is 1740287572

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD)
NPI
1740287572
Phone
(937) 762-1305
Address
1 PRESTIGE PL
Enumeration Date
7 July 2005
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9372987751
Graduation Year
1982 (44 years ago)
PAC ID
0840224812
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20051013000198
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
wmccullough180924@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,818 OBSTETRICS/GYNECOLOGY in OH

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Provider Addresses for DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD)

  • 1 PRESTIGE PL

    SUITE 550

    MIAMISBURG, OH 453423794

    Phone: (937) 762-1305

    Fax: (937) 522-7513

    Type: Mailing

  • 6438, Wilmington Pike, Centerville, Montgomery County, Ohio, 45459, United States

    SUITE 300

    CENTERVILLE, OH 45459

    Phone: (937) 848-4850

    Fax: (937) 848-4858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Meditrina ($126).

Total Amount

$126

General + Research + Ownership

Payments

1

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Meditrina$126
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: 2005-10-13

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
I20051013000198IObstetrics/GynecologyOHTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2827$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2626$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2121$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Does DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) uses 1740287572.
Does CMS list DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) as active?
Yes — DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) is active in the NPI listing used on this page.
What is DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) best known for clinically?
Directory data describes DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) based?
DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) is tied to Miamisburg, Ohio in the data we show; additional addresses may exist on the full record.
Why does DR. WILLIAM MICHAEL JR. MCCULLOUGH (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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