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Dr. James R Cullington , MD

Plastic Surgery โ€ข Austin, TX

Active NPI 1295806602 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1601 Trinity St Stop 704
Austin, TX 787121865

Call 5123248320 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1601 Trinity St Stop 704

Austin, TX 787121865

Telephone 5123248320
Fax 5123248326
Organization at the Same NPPES Address or Phone
Seton Family Of Doctors Facility NPI 1588997233

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Austin, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1972

Medicare patients

12 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $12,915 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,291 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

18 standardized 30-day fills in 2014

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$183 in 2014

The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2014.

Open Payments general payments, program year 2025

All general payments: $340.63 across 2 records.

By nature of payment

  • Food and Beverage: $340.63 across 2 records.

Reporting-company totals

  • MOTIVA USA, LLC: $196.20 across 1 record.
  • ABBVIE INC.: $144.43 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

54 years (graduated 1972)

CMS Doctors and Clinicians data list 1972 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cullington has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cullington as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Austin and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Plastic Surgery in Texas (2024, 78 clinicians with data). Median for this group: 58. Middle half: 23 to 155.

Too few clinicians listed under Plastic Surgery in Austin have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Plastic Surgery in Texas (2024, 78 clinicians with data). Median for this group: $6,716. Middle half: $3,158 to $15,136.

Too few clinicians listed under Plastic Surgery in Austin have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Plastic Surgery in Texas (2024, 78 clinicians with data). Median for this group: $4,671. Middle half: $2,308 to $11,022.

Too few clinicians listed under Plastic Surgery in Austin have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Cullington are from 2014.

27 active clinicians are listed under Plastic Surgery with a practice address in Austin, TX (374 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

7.4% of these 27 clinicians have the CMS telehealth indicator.

33.3% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2014), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $340.63.

Manufacturer Payment Nature Product Type Amount ($)
MOTIVA USA, LLC
Food and Beverage
Cash or cash equivalent
Motiva Implant Matrix General $196.20
ABBVIE INC.
Food and Beverage
In-kind items and services
ALLODERM General $144.43

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
131 12 $69.93 $23.45
11042 Removal of skin and tissue, 20.0 sq cm or less
80 11 $376.08 $123.04

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2014.

CMS Part D ยท Data Year 2014
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 18 103 $182.61 โ€”

Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-25
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

License # reported to NPPES TX D9408

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Plastic Surgery Within the Head and Neck

NUCC Taxonomy Code: 2082S0099X

License # reported to NPPES TX D9408

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
110220408 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY

Medicare Enrollment ID

I20090708000803

Enrollment State Jurisdiction

TX

PECOS Control ID

0143379123

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

901 Baylor St

Austin, TX 787034937

Phone: 5124221553

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Brent Egeland , MD

Plastic Surgery - Surgery of the Hand

NPI 1053433375

Doctor of Medicine (M.D.)

Dr. Steven Henry , MD

Plastic Surgery - Surgery of the Hand

NPI 1770679607

Doctor of Medicine (M.D.)

Dr. Brian Kelley , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1992092449

Doctor of Medicine (M.D.)

Sergio Martinez

Physician Assistant

NPI 1588123939
Allison Orlich , PA-C

Physician Assistant

NPI 1952505653

Physician Assistant (Certified)

Dr. Nicholas O'sick , DO

Surgery - Plastic and Reconstructive Surgery

NPI 1629568845

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Business Mailing Address July 25, 2022

Registered at 901 BAYLOR ST, AUSTIN, TX 787034937 (Tel: 5124221553)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Plastic Surgery (license number reported to NPPES: TX D9408)

๐Ÿ“
Updated Practice Location December 02, 2020

Registered at 1601 TRINITY ST STOP 704, AUSTIN, TX 787121865 (Tel: 5123248320)

๐Ÿ“
Updated Business Mailing Address December 02, 2020

Registered at 1601 TRINITY ST STOP 704, AUSTIN, TX 787121865 (Tel: 5123248320)

โœ…
NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 26, 2011

Registered at 1400 N IH 35 STE 320, AUSTIN, TX 787011926 (Tel: 5123248320)

๐Ÿ“
Business Mailing Address (Initial Record) August 26, 2011

Registered at 901 BAYLOR ST, AUSTIN, TX 787034937 (Tel: 5123248320)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 26, 2011

Recorded as JAMES CULLINGTON, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Plastic Surgery (license number reported to NPPES: TX D9408)

๐ŸŸข
Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295806602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 25, 2022
Sole Proprietor: No

Other Plastic Surgery Specialists in Austin

All Plastic Surgery Specialists in Austin

Mailing Address

901 Baylor St

Austin, TX 787034937

Phone: 5124221553

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.