Active NPI 1104369099 Individual Practitioner Male Practitioner

Cullen Anthony Mack , PA

Physician Assistant • Medford, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cullen Mack, PA is a certified Physician Assistant practicing in Medford, OR. With approximately 10 years of clinical experience since completing medical education in 2016, Cullen Mack delivers high-quality medical care to the local community at 235 E BARNETT RD.

Cullen Mack is affiliated with Providence Health And Services Oregon and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, new 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

235 E Barnett Rd
Suite 106

Medford, OR 975017901

Telephone 5417734029

Associated Practice Facility / Clinic

🏢 Valley Immediate Care, Llc Facility NPI 1982709226

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Medford, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

122 Specialists

Practicing in Medford, OR (2106 Statewide)

Telehealth Adoption Rate

23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (10 Years) 10 Yrs

Medford Specialty Average (9.9 Years) 9.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	338	$435.00	$104.79
81003 Automated urinalysis test	76	72	$26.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$567.00	$136.54
71046 X-ray of chest, 2 views	46	44	$90.41	$22.31
36415 Insertion of needle into vein for collection of blood sample	34	34	$21.00	$8.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	26	$21.00	$5.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	20	$49.00	$11.78
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$147.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$379.00	$87.11
87651 Detection test for Strep (Streptococcus, group A)	12	12	$60.00	$34.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	133	$210.84	$103.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$172.46	$135.66
71046 X-ray of chest, 2 views	46	44	$37.33	$27.20
81002 Urinalysis, manual test	41	40	$3.48	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$102.96	$73.62
80053 Blood test, comprehensive group of blood chemicals	33	32	$10.56	$10.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$114.47	$91.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	31	$7.77	$7.61
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	21	21	$67.03	$40.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	16	$49.50	$27.99
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$51.31	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	128	$125.29	$103.76
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	101	99	$27.62	$26.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$109.37	$90.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	36	$26.70	$18.97
81002 Urinalysis, manual test	35	35	$3.50	$3.37
71046 X-ray of chest, 2 views	32	32	$31.93	$27.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$157.21	$135.86
80053 Blood test, comprehensive group of blood chemicals	29	28	$11.40	$10.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	19	$7.77	$7.69
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$85.57	$73.97
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$13.39	$11.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	143	139	$28.11	$27.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	101	$127.80	$106.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$116.98	$92.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	65	63	$22.39	$18.70
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$86.33	$75.25
71046 X-ray of chest, 2 views	26	25	$38.05	$27.63
81002 Urinalysis, manual test	25	24	$3.54	$3.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	22	$7.77	$7.77
80053 Blood test, comprehensive group of blood chemicals	21	20	$10.56	$10.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$173.69	$138.06
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$91.54	$59.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	126	124	$27.59	$27.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	95	$108.03	$90.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	80	80	$22.56	$19.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$108.05	$88.10
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$73.94	$63.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	29	$8.63	$7.70
80053 Blood test, comprehensive group of blood chemicals	29	29	$13.04	$10.47
81002 Urinalysis, manual test	28	26	$4.27	$3.34
71046 X-ray of chest, 2 views	24	24	$33.77	$27.01
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$16.58	$14.13
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$73.03	$62.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	172	$113.18	$89.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$108.88	$89.50
81002 Urinalysis, manual test	45	45	$3.46	$3.39
71046 X-ray of chest, 2 views	42	42	$31.15	$26.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	41	40	$8.68	$8.41
80053 Blood test, comprehensive group of blood chemicals	39	39	$12.94	$11.44
36415 Insertion of needle into vein for collection of blood sample	26	26	$3.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$162.85	$137.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$16.75	$13.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$143.80	$121.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	145	$106.46	$93.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$106.41	$93.09
81002 Urinalysis, manual test	48	45	$3.48	$3.41
71046 X-ray of chest, 2 views	27	27	$30.00	$26.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	26	$9.71	$9.11
36415 Insertion of needle into vein for collection of blood sample	25	25	$3.02	$2.84
80053 Blood test, comprehensive group of blood chemicals	24	24	$13.22	$12.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$143.56	$126.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$26.91	$16.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	112	$106.14	$88.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$106.34	$89.35
36415 Insertion of needle into vein for collection of blood sample	23	22	$3.00	$2.94
81002 Urinalysis, manual test	22	22	$3.50	$3.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	16	$10.66	$10.45
80053 Blood test, comprehensive group of blood chemicals	17	16	$14.49	$14.20
71020 X-ray of chest, 2 views, front and side	17	17	$27.52	$23.09
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$72.08	$60.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	15	$25.11	$21.02
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$16.70	$14.03

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR 180563

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

Commercial Insurance / Payer ID Medical License

PA180563

Hospital & Practice Group Affiliations

Providence Health And Services Oregon

940 Royal Ave, Medford, OR 975046194

Providence Health And Services Oregon

870 S Front St, Central Point, OR 975022779

Phone: 5416643346

Practice Associates & Co-Workers

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

1 Associated Practitioners

Erica Lingafelter

Nurse Practitioner - Family

NPI 1093419277

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 14, 2017

Registered at 815 N CENTRAL AVE, SUITE C, MEDFORD, OR 975015873 (Tel: 5417349030)

📍

Updated Practice Location March 14, 2017

Registered at 235 E BARNETT RD, SUITE 106, MEDFORD, OR 975017901 (Tel: 5417734029)

👤

Provider Name / Credentials Updated March 14, 2017

Recorded as CULLEN MACK, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Physician Assistant (License #180563 in OR)

✅

NPI Profile Active November 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2016

Registered at 235 E BARNETT RD, SUITE 106, MEDFORD, OR 975017901 (Tel: 5417349030)

📍

Updated Business Mailing Address November 23, 2016

Registered at 235 E BARNETT RD, SUITE 106, MEDFORD, OR 975017901 (Tel: 5417349030)

👤

Provider Name / Credentials Updated November 23, 2016

Recorded as CULLEN MACK, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2016

Physician Assistant (License #180563 in OR)

🟢

Initial NPI Registration & Enumeration November 23, 2016

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: 1104369099

Entity Type:

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

Enumeration Date: November 23, 2016

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

815 N Central Ave, Suite C

Medford, OR 975015873

Phone: 5417349030

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.