DR. KEVIN CUCCARO DO
NPI 1003937772
Anesthesiology - Pain Medicine in Corvallis, OR

Q: What is Kevin Cuccaro's NPI number?

The NPI number for Kevin Cuccaro is 1003937772. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Kevin Cuccaro's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: Is Kevin Cuccaro enrolled in Medicare?

No. Kevin Cuccaro has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kevin Cuccaro was last updated on September 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2007Opted out of Medicare · through Aug 2, 2027

3680 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 754-1150 Get Directions Write a Review

NPPES record last updated: September 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kevin Cuccaro Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN CUCCARO DO (NPI 1003937772) is an individual pain medicine provider in Corvallis, Oregon, licensed in Oregon (DO154079) and active in the NPI registry since April 2007. He has opted out of Medicare through August 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003937772

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameDR. KEVIN CUCCAROCredential: DO

Location Address3680 NW SAMARITAN DRCorvallis, OR 97330-3737

Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (541) 754-1150

Phone(541) 754-1150

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateSeptember 11, 2011

✔ NPI 1003937772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in OR · DO154079

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

3680 NW SAMARITAN DR, Corvallis, OR 97330

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kevin Cuccaro Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2015 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2015

Opt-Out In Effect ThroughAugust 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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