THOMAS W MCCULLOH (DO) – Family Medicine Physician, NPI 1407879661
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for THOMAS W MCCULLOH (DO)
1104 WALNUT DR
ARDMORE, OK 734012353
Phone: (580) 226-0543
Fax: (580) 226-2284
Type: Mailing
Family Health Center Convenient Care Clinic, 1306, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 734011285
Phone: (580) 223-6003
Type: Mailing
Walnut Drive West, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 734012353
Phone: (580) 226-0543
Fax: (580) 226-2284
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $965.
Total Amount is formed as General ($965) + Research ($0) + Ownership ($0) = $965.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($291).
Total Amount
$965
General + Research + Ownership
Payments
66
Total payment records
General Amount
$965
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $291 |
| ABBVIE INC. | $241 |
| Amgen Inc. | $120 |
| AstraZeneca Pharmaceuticals LP | $88 |
| Novo Nordisk Inc | $64 |
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: 2004-03-16
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 |
|---|---|---|---|---|
| I20040316001348 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 164 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 98 | $0 |
| 83036 | Hemoglobin a1c level | 94 | 59 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 88 | 22 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 64 | 15 | $0 |
Insurance plans in this area (ZIP 73401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK |
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