Keith Mccullough, PA-C
NPI 1447800552 · Physician Assistant · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Mccullough, PA-C is a Physician Assistant provider in Coeur D Alene, ID (NPI 1447800552).
Provider details
- NPI number
- 1447800552
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-1818 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
434 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 89 | $79 |
| Aspiration of Fluid From Chest Cavity Using Imaging Guidance32555 | 59 | $84 |
| Fluoroscopic Guidance for Needle Placement77002 | 42 | $21 |
| Review By Radiologist of Ct Guidance for Needle Placement77012 | 40 | $53 |
| Biopsy and Aspiration of Bone Marrow Sample for Diagnosis38222 | 38 | $55 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 33 | $36 |
Practice location
Mailing address
Additional practice locations (1)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-6360Fax: (208) 625-6361
Registry dates
- Enumerated
- 2019-09-19
- Last updated
- 2025-08-03
- Certified
- 2025-08-03
Frequently asked questions
- What is Keith Mccullough's NPI number?
- Keith Mccullough's National Provider Identifier (NPI) is 1447800552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Mccullough's specialty?
- Keith Mccullough is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Mccullough located?
- Keith Mccullough's practice location on file with NPPES is 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401.
- What is Keith Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Keith Mccullough is (208) 625-6300.
- Does Keith Mccullough accept Medicare?
- Keith Mccullough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Mccullough's NPI active?
- Yes — Keith Mccullough's NPI (1447800552) is active in the NPPES registry as of the last update on 2025-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.