Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Casey Kent McCullough, MD

Individual provider Family Medicine Physician · NPI 1902127350

Dr. Casey Kent McCullough, MD is a Family Practice in Montezuma Creek, Utah. Graduated from Washington University School of Medicine in 2010, 16 years ago. Practices with Blue Mountain Hospital, an 8-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Trained at
Washington University School of Medicine
Licensed in
UT
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1478 E Highway 162
Montezuma Creek, UT 84534-0130
Phone: (435) 651-3700
Fax: (435) 678-0608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 86533281205 (UT)

Record details

NPI number1902127350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESMarch 18, 2022
Certification dateMarch 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Blue Mountain Hospital — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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