DR. LARRY LORENZO MCCULLOUGH (M.D.) – Obstetrics & Gynecology Physician, NPI 1275540411
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 PAIN MANAGEMENT in OK
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Provider Addresses for DR. LARRY LORENZO MCCULLOUGH (M.D.)
PO BOX 751
HULBERT, OK 744410751
Phone: (918) 772-3390
Type: Mailing
208, East Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States
TAHLEQUAH, OK 744643234
Phone: (918) 456-2496
Type: Location
400 HOSPITAL DR STE 210
CORSICANA, TX 751102489
Phone: (903) 654-1151
Fax: (903) 654-1158
Type: Location
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7042
Fax: (615) 628-6877
Type: Mailing
540 W 15TH ST
HEREFORD, TX 790452820
Phone: (806) 364-7512
Fax: (806) 364-5256
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-10-26
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 |
|---|---|---|---|---|
| I20201026002296 | I | Obstetrics/Gynecology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice, Obstetrics/Gynecology | AR | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | TX | |
| - | TX |
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