Active NPI 1821105628 Individual Practitioner Male Practitioner

Dr. John Culhane , MD

Surgery • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Culhane, MD is a certified Surgery practicing in Saint Louis, MO. With approximately 27 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1999, Dr. Culhane delivers high-quality medical care to the local community at 1225 S GRAND BLVD.

Dr. Culhane is affiliated with Ssm Health Care Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1225 S Grand Blvd

Saint Louis, MO 631041016

Telephone 3149774440

Fax 3149771877

Associated Practice Facility / Clinic

🏢 St Louis University Facility NPI 1104899459

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +8.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

246 Specialists

Practicing in Saint Louis, MO (766 Statewide)

Telehealth Adoption Rate

9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Culhane (27 Years) 27 Yrs

Saint Louis Specialty Average (18.3 Years) 18.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	52	$150.00	$77.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$308.00	$128.51
99291 Critical care, first 30-74 minutes	27	13	$435.00	$209.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	13	$179.00	$116.84
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$229.00	$81.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$451.00	$170.58
99283 Emergency department visit with low level of medical decision making	13	13	$117.00	$70.35
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$110.00	$64.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	44	$111.00	$77.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$212.00	$128.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	15	$155.58	$117.10
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$140.00	$81.74
99283 Emergency department visit with low level of medical decision making	11	11	$117.00	$71.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	56	$66.00	$38.41
99291 Critical care, first 30-74 minutes	52	17	$390.00	$216.82
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$140.00	$97.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	27	$111.00	$70.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$212.00	$133.56
99218 Hospital observation care typically 30 minutes	12	12	$135.00	$96.84
99284 Emergency department visit with moderate level of medical decision making	11	11	$182.00	$121.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	45	$66.00	$38.20
99291 Critical care, first 30-74 minutes	64	24	$390.00	$219.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	28	$111.00	$71.49
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$140.00	$100.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	14	$148.00	$102.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$212.00	$135.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$73.91	$56.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	43	$66.00	$39.98
99291 Critical care, first 30-74 minutes	36	19	$390.00	$226.51
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$140.00	$103.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$111.00	$73.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	45	$66.00	$39.10
99291 Critical care, first 30-74 minutes	60	23	$390.00	$221.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	27	$111.00	$72.16
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$140.00	$100.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	80	33	$624.00	$217.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	20	$278.29	$102.84
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$135.00	$50.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	83	32	$630.00	$214.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	11	$113.00	$37.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	21	$300.00	$100.83
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$135.00	$49.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$90.00	$24.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$210.00	$73.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$203.00	$76.14

Medical Specialties & State Licenses

CMS Verified: 2021-02-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A74578

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License MO 2018027900

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License CA A74578

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0079700 (CA)

Hospital & Practice Group Affiliations

Ssm Health Care Group

10101 Woodfield Ln, Saint Louis, MO 631322946

Phone: 6082804647

Ssm Health Care Group

1225 S Grand Blvd, Saint Louis, MO 631041016

Ssm Health Care Group

1201 S Grand Blvd, Saint Louis, MO 631041016

Phone: 3146172000

Secondary Practice Locations

1201 S Grand Blvd

Saint Louis, MO 631041016

Phone: 3142578000

Practice Associates & Co-Workers

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

23 Associated Practitioners

Doug Longo , APRN

Nurse Practitioner - Acute Care

NPI 1003276866

Advanced Practice Registered Nurse

Dr. Eddy Hsueh , MD

Surgery

NPI 1003910225

Doctor of Medicine (M.D.)

Dr. Carrie Luu , MD

Surgery

NPI 1083846208

Doctor of Medicine (M.D.)

Dr. Jason Keune , MD, MBA

Surgery

NPI 1093735672

Doctor of Medicine (M.D.), Master of Business Administration

Charles Bradford , FNP-BC

Nurse Practitioner - Family

NPI 1194281584

Family Nurse Practitioner (Board Certified)

Dr. Bradley Putty , MD

Surgery

NPI 1225051774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location February 25, 2021

Registered at 1225 S GRAND BLVD, SAINT LOUIS, MO 631041016 (Tel: 3149774440)

📍

Updated Business Mailing Address February 25, 2021

Registered at 1008 S SPRING AVE, SAINT LOUIS, MO 631102520 (Tel: 3149774717)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Surgery (License #2018027900 in MO)

📍

Updated Practice Location September 20, 2019

Registered at 3635 VISTA AVE, SAINT LOUIS, MO 631102539 (Tel: 3145778802)

📍

Updated Business Mailing Address September 20, 2019

Registered at 3635 VISTA AVE, SAINT LOUIS, MO 631102539 (Tel: 3145778802)

📍

Updated Practice Location July 19, 2018

Registered at 400 N PEPPER AVE STE 308, COLTON, CA 92324 (Tel: 9095803353)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Surgery (License #A74578 in CA)

✅

NPI Profile Active September 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2008

Registered at 400 N PEPPER AVE, ARMC, COLTON, CA 92324 (Tel: 9095806210)

📍

Updated Business Mailing Address September 29, 2008

Registered at PO BOX 670, REDLANDS, CA 92373 (Tel: 9095806210)

👤

Provider Name / Credentials Updated September 29, 2008

Recorded as JOHN CULHANE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2008

Surgery (License #A74578 in CA)

🟢

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: 1821105628

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: February 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1008 S Spring Ave

Saint Louis, MO 631102520

Phone: 3149774717

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.