DR. MADISON MCCULLOCH (MD) – Diagnostic Radiology Physician, NPI 1114124690
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. MADISON MCCULLOCH (MD)
19020 33rd Ave W Ste 210
Lynnwood, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($78).
Total Amount
$95
General + Research + Ownership
Payments
2
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $78 |
| Boston Scientific Corporation | $18 |
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: 2025-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20140304001876 | I | Diagnostic Radiology | WA | TBD |
| I20140910002100 | I | Diagnostic Radiology | ID | TBD |
| I20230322000604 | I | Diagnostic Radiology | MI | TBD |
| I20240610002916 | I | Diagnostic Radiology | MT | TBD |
| I20251002004333 | I | Diagnostic Radiology | IA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 322 | 312 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 143 | 143 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 140 | 137 | $0 |
| 70450 | Ct scan head or brain without contrast | 139 | 136 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 88 | 87 | $0 |
Insurance plans in this area (ZIP 98036)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 83 | 83 |
| DIAGNOSTIC RADIOLOGY | WA | 73110 | X-ray of wrist, minimum of 3 views | 24 | 23 |
| DIAGNOSTIC RADIOLOGY | WA | 73562 | X-ray of knee, 3 views | 44 | 35 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 31 | 29 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 161 | 160 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Infectious Disease, Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA |
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