2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1366535890 MD
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ANDREA MCCULLOUGH, MD

Emergency Medical Services (Emergency Medicine) Physician in FORT BRAGG, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 530 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.7919/100
▼ 9 pts below national avg 83.1 · [object Object]

What the federal data shows

ANDREA MCCULLOUGH, MD reported a CMS MIPS final score of 73.7919/100 — below the 83.1 national average — and filed 5,267 Medicare Part D claims in 2023.

73.7919/100
MIPS score · -9 vs avg
5K
Part D claims, 2023
86%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDREA MCCULLOUGH, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDREA MCCULLOUGH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDREA MCCULLOUGH, MD?

Below national average

NPI registry status

Active

Issued 10/02/2006

NPI 1366535890

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

5,267 1237% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

73.7919/100 9.308099999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among California providers

California providers

Emergency Medical Services (Emergency Medicine) Physician share within California

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within California

Medicare quality performance — MIPS

ANDREA MCCULLOUGH, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

Below national average
MIPS Final Score
73.7919/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 73.7919/100 vs national avg 83.1

0%100%National avg83%73.8%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 73.7919/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREA MCCULLOUGH, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 700 RIVER DR, FORT BRAGG, CA, 95437, with a listed phone of (707) 961-4655. NPI 1366535890 was issued on 10/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCULLOUGH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,267 prescription claims written by this provider, covering 530 Medicare beneficiaries and totaling roughly $742K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 6.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.7919/100 for the 2023 performance year (Quality 76.8775, Cost 36.9374), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

700 RIVER DR
FORT BRAGG, CA 95437

Provider Details

NPI 1366535890
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Female
NPI Issued 10/02/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

73.7919
Final Score
Avg: 83.1
76.8775
Quality
36.9374
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREA MCCULLOUGH, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

JOHN R GLYER D MILLS MATHESON AND MARGARET ARNER MDS PTR
WILLITS, CA
LONG VALLEY HEALTH CENTER
LAYTONVILLE, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to ANDREA MCCULLOUGH, MD. To verify ANDREA MCCULLOUGH, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDREA MCCULLOUGH, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 5,267 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,267
Total Claims
$742K
Total Drug Cost
530
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,739
Total Day Supply
310,359
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$611K
Generic Drug Cost
$128K
Opioid Claims
345 (6.6% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.18
Gender Split
60% female / 40% male
Age Distribution
<65: 70, 65-74: 250, 75-84: 157, 85+: 53

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDREA MCCULLOUGH, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
223
Amlodipine Besylate
194
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
179
Atorvastatin Calcium
163
Losartan Potassium
162
Metoprolol Succinate
144
Omeprazole
131
Pantoprazole Sodium
113
Lisinopril
104
Albuterol Sulfate Hfa
Albuterol Sulfate
100

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medical Services (Emergency Medicine) Physician Overview

How ANDREA MCCULLOUGH, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

ANDREA MCCULLOUGH, MD's 5,267 claims are above the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as MCCULLOUGH.

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREA MCCULLOUGH, MD's specialty?
ANDREA MCCULLOUGH, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in FORT BRAGG, California. Credentials: MD.
How much does ANDREA MCCULLOUGH, MD prescribe under Medicare Part D?
In 2023, ANDREA MCCULLOUGH, MD wrote 5,267 Medicare Part D claims totaling $742K in drug costs for 530 beneficiaries.
What is ANDREA MCCULLOUGH, MD's Medicare quality score?
ANDREA MCCULLOUGH, MD has a CMS MIPS Final Score of 73.7919/100 (Quality: 76.8775, Cost: 36.9374). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREA MCCULLOUGH, MD located?
ANDREA MCCULLOUGH, MD is located at 700 RIVER DR, FORT BRAGG, CA, 95437. Phone: (707) 961-4655.
What is ANDREA MCCULLOUGH, MD's NPI number?
ANDREA MCCULLOUGH, MD's National Provider Identifier (NPI) is 1366535890, issued on 10/02/2006.
Does ANDREA MCCULLOUGH, MD prescribe more brand-name or generic drugs?
ANDREA MCCULLOUGH, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $611K in brand drug costs.
Does ANDREA MCCULLOUGH, MD prescribe opioids?
Yes, ANDREA MCCULLOUGH, MD had 345 opioid claims in 2023 with an opioid prescribing rate of 6.6%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does ANDREA MCCULLOUGH, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREA MCCULLOUGH, MD's most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREA MCCULLOUGH, MD accept Medicare?
ANDREA MCCULLOUGH, MD appears in CMS Medicare data with 5,267 Part D claims and 530 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREA MCCULLOUGH, MD's credentials?
ANDREA MCCULLOUGH, MD's NPI is 1366535890 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology