Doctor profile · Federal record
Dr. Kim McCullough, M.D.
Surgery Physician (CMS: General Surgery) · Sault Sainte Marie, MI
- NPI 1194777680
- Accepts Medicare
- MIPS 20.6 / 100 · 2023
- 42 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
550 Osborn Blvd, Suite 2600
Sault Sainte Marie, MI 497831899
(906) 635-1048
fax (906) 635-3103
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 22, 2010
- Year of graduation
- 1984 — 42 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Michigan #KM405465
- Medicaid
- MI #2698385
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194777680. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
484
Distinct HCPCS
10
Medicare allowed
$70,133
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 89 | 83 | $86 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $107 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 48 | 48 | $192 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 47 | 42 | $122 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $160 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 28 | $97 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 29 | 29 | $173 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 28 | 28 | $210 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 22 | 22 | $243 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 19 | 17 | $171 |
In context: peer comparison
Among 3 peers in Sault Sainte Marie Surgery Physician, average services per provider: 32. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$43
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Olympus America INC. | 1 | $42.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
373
Patients
332
Total drug cost
$876
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Dicyclomine Hcl | Generic | 275 | 270 | $223 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 51 | 47 | $166 |
| Omeprazole | Generic | 30 | 0 | $444 |
| Cephalexin | Generic | 17 | 15 | $42 |
Hospital affiliations
Frequently asked questions
What is Dr. Kim McCullough's medical specialty?
Dr. Kim McCullough practices Surgery Physician in Sault Sainte Marie, MI.
Where does Dr. Kim McCullough practice?
Dr. Kim McCullough practices at 550 Osborn Blvd, Sault Sainte Marie, MI 497831899. Office phone: 9066351048.
What is Dr. Kim McCullough's NPI?
Dr. Kim McCullough's National Provider Identifier (NPI) is 1194777680, issued by NPPES.
Does Dr. Kim McCullough accept Medicare assignment?
Yes. Dr. Kim McCullough accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kim McCullough commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.