RANDAL CURTIS CUPP PA-C
NPI 1205024866
Physician Assistant in Tacoma, WA

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
1717 S J ST, TACOMA, WA 98405(253) 426-6341(253) 426-6344 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Randal Curtis Cupp Pa-c NPPES

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

RANDAL CURTIS CUPP PA-C (NPI 1205024866) is an individual physician assistant in Tacoma, Washington, licensed in Washington (PA10003464) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains a secondary practice location in Tonasket.

NPPES Registry Identity

NPI1205024866
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDAL CURTIS CUPPCredential: PA-C
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address203 S. Western Ave, C/o: CredentialingTonasket, WA 98855 · (509) 486-3144
Fax(253) 426-6344
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 9, 2007
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1205024866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003464
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1717 S J ST, Tacoma, WA 98405

Other Names 1

Other Name (5)Randai Curtis Cupp Pa-c

Secondary Practice Location 1

Location 1203 S Western AveTonasket, WA 98855-8803 · Phone (509) 486-2151 · Fax (509) 486-3176

Other Identifiers 5

Other0302340WA · State L&i
Medicaid8498388WA
Other0225542WA · State L&i
OtherP00704522WA · Railroad
Other8945631WA · State Crime Victims

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randal Curtis Cupp Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476640731
PECOS Enrollment IDI20071102000206
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
217 services217 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
86 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Columbia Basin Hospital

Critical Access Hospitals · Ephrata, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501317
Location200 Nat Washington WayEphrata, WA 98823 · Grant County
Emergency services

St Elizabeth Hospital

Critical Access Hospitals · Enumclaw, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number501335
Location1450 Battersby AvenueEnumclaw, WA 98022 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.62 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
1717 S J ST
TACOMA, WA 98405
Emergency Medicine
1717 S J ST
TACOMA, WA 98405
Internal Medicine
1717 S J ST, MS 01-36
TACOMA, WA 98405
Emergency Medicine
1717 S J ST
TACOMA, WA 98405
Emergency Medicine
1717 S J ST
TACOMA, WA 98405
Emergency Medicine
1717 S J ST
TACOMA, WA 98405
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Emergency Medicine
1717 S J ST
TACOMA, WA 98405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205024866, enumerated as an "individual" on October 09, 2007.

The provider is located at 1717 S J ST TACOMA, WA 98405 and the phone number is (253) 426-6341.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.

Randal Cupp is affiliated with: ST CLARE HOSPITAL, ST JOSEPH MEDICAL CENTER, ST ANTHONY HOSPITAL, COLUMBIA BASIN HOSPITAL and ST ELIZABETH HOSPITAL.