KOURT BACON DO
NPI 1710449012
Anesthesiology in Tripler Army Medical Center, HI
About Kourt Bacon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOURT BACON DO (NPI 1710449012) is an individual anesthesiology provider in Tripler Army Medical Center, Hawaii, licensed in Virginia (0102206358) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kourt Bacon Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kourt Bacon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 37 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 664 clinicians in this Medicare group
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilcox Memorial Hospital
Acute Care Hospitals · Lihue, HIStraub Clinic And Hospital
Acute Care Hospitals · Honolulu, HIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER AMC, HI 96859
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kourt Bacon's NPI number?
The NPI number for Kourt Bacon is 1710449012. It was assigned to this individual provider in the NPPES registry on April 4, 2019.
Where is Kourt Bacon located?
Kourt Bacon practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (971) 732-3174.
What is Kourt Bacon's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Kourt Bacon enrolled in Medicare?
Yes. Kourt Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kourt Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kourt Bacon reassigns Medicare benefits to 3 organizations: Island Medical Consultants, LLC (Honolulu, HI), Straub Clinic & Hospital (Honolulu, HI) and Kauai Medical Clinic (Lihue, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourt Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kourt Bacon affiliated with any hospitals?
According to CMS data, Kourt Bacon is affiliated with Wilcox Memorial Hospital and Straub Clinic And Hospital.
When was this NPI record last updated?
The NPPES record for Kourt Bacon was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kourt Bacon, DO · NPI 1710449012
Anesthesiology physician in Tripler Army Medical Center, Hawaii. Individual provider, active in the CMS NPPES registry since April 4, 2019.
## Identity
- **NPI:** 1710449012 (Entity type: Individual)
- **Enumerated:** April 4, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 0102206358 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859-5001
- **Phone:** (971) 732-3174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Island Medical Consultants, LLC (NPI 1881965986, Honolulu, HI); Straub Clinic & Hospital (NPI 1457306508, Honolulu, HI); Kauai Medical Clinic (NPI 1376596643, Lihue, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710449012) · Data from the CMS NPPES public registry.