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DR. KEVIN THOMAS PERCUOCO DC
NPI 1821585357
Chiropractor - Sports Physician in Victorville, CA

Active since April 19, 2018Accepts Medicare Assignment
17330 BEAR VALLEY RD STE 105, VICTORVILLE, CA 92395(760) 245-8182(760) 245-2123 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2020, Apr 19, 2018 (2 updates tracked since 2018).

About Dr. Kevin Thomas Percuoco Dc NPPES

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

DR. KEVIN THOMAS PERCUOCO DC (NPI 1821585357) is an individual sports physician in Victorville, California, licensed in Iowa (081984) and active in the NPI registry since April 2018. He is a graduate of Palmer College Chiropractic - Davenport (2016).

NPPES Registry Identity

NPI1821585357
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. KEVIN THOMAS PERCUOCOCredential: DC
Location Address17330 BEAR VALLEY RD STE 105Victorville, CA 92395-7741
Mailing Address3200 Ingersoll Ave Ste EDes Moines, IA 50312-3917 · (515) 620-3550 · Fax (515) 259-6383
Phone(760) 245-8182
Fax(760) 245-2123
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2016
Enumeration DateApril 19, 2018
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1821585357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IA · 081984
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License 33702 (CA)
17330 BEAR VALLEY RD STE 105, Victorville, CA 92395
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Dr. Kevin Thomas Percuoco Dc 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 ID9638582760
PECOS Enrollment IDI20210111002360

Medicare Billing Reassignment

Medicare enrollment records show Kevin Percuoco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palmer College Foundation
1,530 mi
Chiropractor
1000 BRADY ST
Davenport, IA 52803
  • Reassigned Medicare billing, Iowa enrollment
  • 23 clinicians in this Medicare group
NPI 1174535181 (563) 884-5810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

DR. MICHAEL C CRUZ DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
WESTSIDE PREMIER MED GRP
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
JARED RAMOS DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
DR. RYAN FALCIS DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
ETHAN GABRIEL STINE DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182

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 Kevin Percuoco's NPI number?

The NPI number for Kevin Percuoco is 1821585357. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Kevin Percuoco located?

Kevin Percuoco practices at 17330 Bear Valley Rd Ste 105, Victorville, CA 92395. The listed phone number is (760) 245-8182.

What is Kevin Percuoco's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Kevin Percuoco enrolled in Medicare?

Yes. Kevin Percuoco 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 organization bills Medicare for Kevin Percuoco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Percuoco reassigns Medicare benefits to Palmer College Foundation (Davenport, IA). The 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 Kevin Percuoco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Percuoco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Providence Health Plan list Kevin Percuoco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Percuoco was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.