KELLY LOREN MCCULLOUGH (PA-C) – Medical Physician Assistant, NPI 1497088025

KELLY LOREN MCCULLOUGH (PA-C) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA051371 (PA). The NPI Number for KELLY LOREN MCCULLOUGH (PA-C) is 1497088025

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LOREN MCCULLOUGH (PA-C)
NPI
1497088025
Phone
(412) 367-0600
Address
9104 BABCOCK BLVD
Enumeration Date
15 September 2009
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8668747483
Graduation Year
2002 (24 years ago)
PAC ID
1052456613
Group Practice PAC ID
7315263621
Professional Enrollment ID
I20100308000008
Address ID
PA152375818PI9104XBLVD308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for KELLY LOREN MCCULLOUGH (PA-C)

  • Gastroenterology Associates of Pittsburgh, 3285, Babcock Boulevard, Laurel Gardens, Ross Township, Allegheny County, Pennsylvania, 15237, United States

    SUITE 2120

    PITTSBURGH, PA 152375818

    Phone: (412) 367-0600

    Fax: (412) 367-7079

    Type: Location

  • Brooktree Road, Wexford, Pine Township, Allegheny County, Pennsylvania, 15090, United States

    SUITE 320

    WEXFORD, PA 150905818

    Phone: (412) 367-0600

    Fax: (412) 367-7079

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $432.

Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($269).

Total Amount

$432

General + Research + Ownership

Payments

7

Total payment records

General Amount

$432

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-08

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
I20100308000008IPhysician AssistantPATBD

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 minutes2523$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 15237)

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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: 7315263621View full group profile
NameSpecialtyState
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Pain Management, Physical Medicine And RehabilitationPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Rheumatology, Internal MedicinePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Where can patients find KELLY LOREN MCCULLOUGH (PA-C)'s NPI?
You can confirm KELLY LOREN MCCULLOUGH (PA-C) with NPI 1497088025; it appears in the national provider directory.
Is KELLY LOREN MCCULLOUGH (PA-C) currently active in the NPI registry?
CMS-published data lists KELLY LOREN MCCULLOUGH (PA-C) as an active registrant.
What field does KELLY LOREN MCCULLOUGH (PA-C) work in?
You can think of KELLY LOREN MCCULLOUGH (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KELLY LOREN MCCULLOUGH (PA-C)'s primary listing?
We display Pittsburgh, Pennsylvania because that is what the record indicates for KELLY LOREN MCCULLOUGH (PA-C).
What if Pittsburgh, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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