Active NPI 1720195530 Individual Practitioner Male Practitioner

Ryan T Mcculloch , PA

Physician Assistant • Chubbuck, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Mcculloch, PA is a certified Physician Assistant practicing in Chubbuck, ID. With approximately 24 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2002, Ryan Mcculloch delivers high-quality medical care to the local community at 147 W CHUBBUCK RD.

Ryan Mcculloch is affiliated with Idaho Skin Institute Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

147 W Chubbuck Rd

Chubbuck, ID 832022314

Telephone 2082387546

Fax 2082379643

Associated Practice Facility / Clinic

🏢 Stoddard Medical, Inc Facility NPI 1972745594

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chubbuck, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +10.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Chubbuck, ID (1261 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcculloch (24 Years) 24 Yrs

Chubbuck Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	5,000	25	$2.10	$1.68
17003 Destruction of precancer skin growth, 2-14 growths	2,063	420	$25.00	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	1,095	865	$175.00	$70.92
17000 Destruction of skin growth	689	553	$136.00	$42.83
11102 Tangential biopsy of single skin lesion	285	264	$200.00	$69.89
17110 Destruction of up to 14 skin growths	273	259	$224.00	$83.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$215.00	$86.70
11103 Biopsy of related skin growth, each additional growth	104	68	$107.00	$38.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	80	$108.00	$43.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	36	$248.00	$100.53
17004 Destruction of precancer skin growth, 15 or more growths	52	48	$320.00	$129.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	21	$30.00	$11.17
11104 Punch biopsy, first skin growth	31	31	$252.00	$95.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	25	$357.00	$124.31
10060 Simple or single drainage of skin abscess	28	28	$245.00	$98.40
69100 Biopsy of ear	27	25	$198.00	$58.60
96574 Application of light with debridement to destroy precancer skin growth	25	25	$534.00	$212.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$294.00	$96.96
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$379.00	$139.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,800	14	$2.10	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	2,469	457	$25.00	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	1,074	825	$175.00	$71.59
17000 Destruction of skin growth	737	585	$136.00	$42.67
11102 Tangential biopsy of single skin lesion	271	253	$200.00	$72.61
17110 Destruction of up to 14 skin growths	264	239	$224.00	$86.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$215.00	$88.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	100	$108.00	$44.62
11103 Biopsy of related skin growth, each additional growth	82	57	$107.00	$39.22
17004 Destruction of precancer skin growth, 15 or more growths	47	40	$320.00	$132.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	33	$350.24	$131.64
69100 Biopsy of ear	33	30	$198.00	$59.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	17	$248.00	$101.66
11104 Punch biopsy, first skin growth	21	20	$252.00	$98.56
10060 Simple or single drainage of skin abscess	20	19	$245.00	$98.99
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	16	$294.00	$106.22
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	15	$361.00	$128.69
96574 Application of light with debridement to destroy precancer skin growth	16	16	$534.00	$219.65
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$54.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,000	20	$2.09	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	2,475	446	$25.00	$5.23
99213 Established patient office or other outpatient visit, typically 15 minutes	1,023	788	$158.81	$71.23
17000 Destruction of skin growth	746	578	$136.00	$42.16
11102 Tangential biopsy of single skin lesion	317	290	$198.69	$72.74
17110 Destruction of up to 14 skin growths	235	217	$223.51	$84.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$216.82	$87.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	135	$96.37	$43.89
11103 Biopsy of related skin growth, each additional growth	106	73	$106.62	$39.86
17004 Destruction of precancer skin growth, 15 or more growths	59	50	$329.61	$128.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	11	$3.00	$1.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	24	$227.67	$101.41
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$150.00	$57.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	26	$345.85	$128.87
69100 Biopsy of ear	28	27	$203.50	$54.30
96574 Application of light with debridement to destroy precancer skin growth	22	22	$529.18	$220.28
11104 Punch biopsy, first skin growth	22	22	$249.82	$98.86
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	16	$284.30	$85.66
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$378.08	$141.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,971	387	$25.00	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	871	731	$147.00	$72.46
17000 Destruction of skin growth	622	524	$136.00	$41.84
11102 Tangential biopsy of single skin lesion	283	265	$195.00	$74.94
17110 Destruction of up to 14 skin growths	196	178	$222.00	$86.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	156	$88.00	$44.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$217.00	$88.08
11103 Biopsy of related skin growth, each additional growth	91	67	$106.00	$41.36
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$151.00	$57.52
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	31	$345.57	$126.57
17004 Destruction of precancer skin growth, 15 or more growths	29	27	$401.00	$129.87
69100 Biopsy of ear	28	26	$220.00	$59.73
11104 Punch biopsy, first skin growth	25	24	$246.00	$99.48
10060 Simple or single drainage of skin abscess	22	22	$239.00	$95.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$218.00	$103.31
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$373.00	$148.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,872	384	$25.00	$4.77
99213 Established patient office or other outpatient visit, typically 15 minutes	827	694	$147.00	$60.12
17000 Destruction of skin growth	566	482	$136.00	$40.87
11102 Tangential biopsy of single skin lesion	260	249	$195.00	$71.74
17110 Destruction of up to 14 skin growths	185	181	$222.00	$86.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$217.00	$85.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	17	$3.00	$1.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	87	$88.00	$35.99
11103 Biopsy of related skin growth, each additional growth	93	68	$106.00	$42.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$218.00	$87.69
17004 Destruction of precancer skin growth, 15 or more growths	45	42	$401.00	$126.43
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$151.00	$60.73
11104 Punch biopsy, first skin growth	30	29	$246.00	$98.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	27	$350.00	$141.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	13	$50.00	$11.42
69100 Biopsy of ear	22	21	$220.00	$60.60
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	12	$287.00	$99.43
10060 Simple or single drainage of skin abscess	13	13	$239.00	$97.09
96574 Application of light with debridement to destroy precancer skin growth	11	11	$481.00	$211.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,319	446	$25.00	$4.40
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,200	11	$1.66	$1.37
99213 Established patient office or other outpatient visit, typically 15 minutes	966	788	$145.97	$59.45
17000 Destruction of skin growth	657	565	$136.00	$41.26
11102 Tangential biopsy of single skin lesion	304	292	$195.00	$70.17
17110 Destruction of up to 14 skin growths	225	205	$219.75	$82.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	170	170	$215.45	$86.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	144	$87.28	$35.69
11103 Biopsy of related skin growth, each additional growth	135	83	$106.00	$42.13
96900 Application of ultraviolet light to skin	89	12	$39.44	$16.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	19	$3.00	$1.58
17004 Destruction of precancer skin growth, 15 or more growths	68	59	$401.00	$120.59
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$150.45	$61.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	49	$216.15	$87.63
11104 Punch biopsy, first skin growth	40	39	$246.00	$98.12
69100 Biopsy of ear	36	33	$220.00	$59.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	22	$349.36	$126.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	12	$50.00	$13.33
10060 Simple or single drainage of skin abscess	24	22	$236.67	$83.07
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$368.00	$139.81
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	13	$281.86	$102.50
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$261.00	$96.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,208	461	$25.00	$4.05
99213 Established patient office or other outpatient visit, typically 15 minutes	946	786	$137.57	$57.97
17000 Destruction of skin growth	676	590	$136.00	$41.17
11100 Biopsy of single growth of skin and/or tissue	367	357	$187.13	$74.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$200.64	$84.67
17110 Destruction of up to 14 skin growths	203	193	$185.29	$84.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	145	$80.69	$34.58
11101 Biopsy of each additional growth of skin and/or tissue	130	106	$80.00	$25.19
17004 Destruction of precancer skin growth, 15 or more growths	74	66	$401.00	$113.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	14	$3.00	$1.64
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$137.76	$59.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	46	$200.81	$86.05
69100 Biopsy of ear	38	37	$220.00	$61.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	27	$342.00	$130.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	16	$215.00	$95.32
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	17	$534.00	$380.96
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	18	18	$261.00	$85.36
10060 Simple or single drainage of skin abscess	18	17	$225.00	$91.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$293.00	$147.16
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$255.00	$107.27
87220 Tissue fungi or parasites	11	11	$27.00	$5.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,236	402	$25.00	$4.31
99213 Established patient office or other outpatient visit, typically 15 minutes	917	756	$124.06	$57.38
17000 Destruction of skin growth	627	527	$136.00	$40.58
11100 Biopsy of single growth of skin and/or tissue	381	360	$173.00	$72.38
17110 Destruction of up to 14 skin growths	191	176	$185.30	$81.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	149	$74.00	$33.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$181.00	$84.18
11101 Biopsy of each additional growth of skin and/or tissue	123	92	$80.00	$25.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	105	25	$3.00	$1.78
96900 Application of ultraviolet light to skin	90	11	$35.00	$15.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	58	$181.00	$85.52
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$125.00	$58.08
17004 Destruction of precancer skin growth, 15 or more growths	57	52	$401.00	$115.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	38	$342.00	$121.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	13	$40.40	$19.89
69100 Biopsy of ear	29	28	$220.00	$55.54
36415 Insertion of needle into vein for collection of blood sample	25	19	$15.00	$2.94
10060 Simple or single drainage of skin abscess	22	22	$204.82	$92.28
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	11	$422.05	$358.69
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$293.00	$132.59
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$255.00	$96.90
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	13	11	$228.00	$103.06
87220 Tissue fungi or parasites	11	11	$27.00	$5.74

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA405

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

806497600 (ID)

Commercial Insurance / Payer ID Railroad Medicare Ptan

P00329828 (ID)

Hospital & Practice Group Affiliations

Idaho Skin Institute Llc

147 W Chubbuck Rd, Chubbuck, ID 832022314

Phone: 2082387546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Trevor Batty , DO

Dermatology

NPI 1558756106

Doctor of Osteopathic Medicine (D.O.)

Dr. Earl Stoddard , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1760400238

Doctor of Medicine (M.D.)

Leslie Burnside , PA-C

Physician Assistant

NPI 1760451454

Physician Assistant (Certified)

Amy Mckinlay , PA-C

Physician Assistant

NPI 1992716674

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2010

Registered at 147 W CHUBBUCK RD, CHUBBUCK, ID 832022314 (Tel: 2082387546)

📍

Updated Business Mailing Address December 20, 2010

Registered at 147 W CHUBBUCK RD, CHUBBUCK, ID 832022314 (Tel: 2082387546)

👤

Provider Name / Credentials Updated December 20, 2010

Recorded as RYAN MCCULLOCH, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2010

Physician Assistant (License #PA405 in ID)

🟢

Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720195530

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2006

Last Update: December 20, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

147 W Chubbuck Rd

Chubbuck, ID 832022314

Phone: 2082387546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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