MICHAEL J MCCUSKER P. A.-C
NPI 1013096684
Physician Assistant - Medical in Corvallis, OR

Q: What is Michael Mccusker's NPI number?

The NPI number for Michael Mccusker is 1013096684. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Michael Mccusker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mccusker was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 03, 2006PECOS Enrolled

530 NW 27TH ST, CORVALLIS, OR 97330(541) 766-6611(541) 766-6186 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 13, 2019 (2 updates tracked since 2019).

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About Michael J Mccusker P. A.-c NPPES

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

MICHAEL J MCCUSKER P. A.-C (NPI 1013096684) is an individual medical provider in Corvallis, Oregon, licensed in Oregon (PA01335) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013096684

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMICHAEL J MCCUSKERCredential: P. A.-C

Location Address530 NW 27TH STCorvallis, OR 97330-5223

Mailing Address981 Nw Spruce AveCorvallis, OR 97330-2111 · (541) 758-0766 · Fax (541) 753-2737

Phone(541) 766-6611

Fax(541) 766-6186

Sole ProprietorNo

Enumeration DateNovember 3, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1013096684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OR · PA01335

Also ListedFamily MedicineTaxonomy 207Q00000X · License MA052623 (PA)

530 NW 27TH ST, Corvallis, OR 97330

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Other Identifiers 2

Medicaid500634427OR

OtherPA01335OR · Oregon Medical Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Mccusker P. A.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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