THOMAS CULLEN (M.D.) – Pediatric Radiology Physician, NPI 1124347117

THOMAS CULLEN (M.D.) is a healthcare provider. based in Salem, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD175488 (OR). The NPI Number for THOMAS CULLEN (M.D.) is 1124347117

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS CULLEN (M.D.)
NPI
1124347117
Phone
(503) 399-1262
Address
2925 RYAN DR SE
Enumeration Date
31 May 2010
Last Update Date
4 December 2018

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
5034137800
Graduation Year
2010 (16 years ago)
PAC ID
9739470220
Group Practice PAC ID
3577923499
Professional Enrollment ID
I20160613002133
Address ID
OR973811917SI342XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

Provider Addresses for THOMAS CULLEN (M.D.)

  • 2925 RYAN DR SE

    SALEM, OR 973019687

    Phone: (503) 399-1262

    Fax: (503) 371-0777

    Type: Mailing

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-0990

    Fax: (503) 494-4982

    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: 2016-06-13

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
I20160613002133IDiagnostic RadiologyORTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,75016$0
A9585Injection, gadobutrol, 0.1 ml37914$0
71045X-ray of chest, 1 view337288$0
71046X-ray of chest, 2 views320309$0
70450Ct scan head or brain without contrast281263$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

THOMAS CULLEN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast1716

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: 3577923499View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyAZ
Diagnostic RadiologyOR
Diagnostic RadiologyUT
Diagnostic RadiologyIN
Diagnostic RadiologyOR
Diagnostic RadiologyNV
Diagnostic RadiologyOR
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What number should I use to identify THOMAS CULLEN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124347117 for THOMAS CULLEN (M.D.).
Should I treat THOMAS CULLEN (M.D.) as an active provider?
Patients and plans typically see THOMAS CULLEN (M.D.) as active in the national extract.
What type of care does THOMAS CULLEN (M.D.) provide?
THOMAS CULLEN (M.D.)'s profile centers on Pediatric Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THOMAS CULLEN (M.D.)?
THOMAS CULLEN (M.D.) is associated with Salem, Oregon in the same public data insurers reference.
Who maintains THOMAS CULLEN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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