MR. HUGH CHARLES MCCULLOUGH (PA-C) – Physician Assistant, NPI 1891068052

MR. HUGH CHARLES MCCULLOUGH (PA-C) is a healthcare provider. based in South boston, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110003825 (VA). The NPI Number for MR. HUGH CHARLES MCCULLOUGH (PA-C) is 1891068052

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. HUGH CHARLES MCCULLOUGH (PA-C)
NPI
1891068052
Phone
(434) 575-5864
Address
2210 WILBORN AVE
Enumeration Date
20 February 2012
Last Update Date
20 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4345755864
Graduation Year
2011 (15 years ago)
PAC ID
4587803846
Group Practice PAC ID
8628008331
Professional Enrollment ID
I20141103000145
Address ID
VA245921630SO2210XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MR. HUGH CHARLES MCCULLOUGH (PA-C)

  • 2210 WILBORN AVE

    SOUTH BOSTON, VA 245921630

    Phone: (434) 575-5864

    Type: Location

  • 7203 QUINCY AVE

    FALLS CHURCH, VA 220421621

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,022.

Total Amount is formed as General ($1,022) + Research ($0) + Ownership ($0) = $1,022.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($359).

Total Amount

$1,022

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,022

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2014-11-03

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
I20141103000145IPhysician AssistantVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24592)

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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: 8628008331View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantVA
-VA
Physician AssistantVA
Physician AssistantVA
Physician AssistantVA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineVA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineVA
Physician AssistantVA
Physician AssistantVA

Reviews

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Frequently asked questions

Where can patients find MR. HUGH CHARLES MCCULLOUGH (PA-C)'s NPI?
You can confirm MR. HUGH CHARLES MCCULLOUGH (PA-C) with NPI 1891068052; it appears in the national provider directory.
Is MR. HUGH CHARLES MCCULLOUGH (PA-C)'s NPI currently valid?
The extract we use shows MR. HUGH CHARLES MCCULLOUGH (PA-C) as active.
What field does MR. HUGH CHARLES MCCULLOUGH (PA-C) work in?
You can think of MR. HUGH CHARLES MCCULLOUGH (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. HUGH CHARLES MCCULLOUGH (PA-C)'s primary listing?
We display South Boston, Virginia because that is what the record indicates for MR. HUGH CHARLES MCCULLOUGH (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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