CORRY JEB KUCIK (M.D.) – Anesthesiology Physician, NPI 1679559637
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,125 CRITICAL CARE (INTENSIVISTS) in CA
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Provider Addresses for CORRY JEB KUCIK (M.D.)
10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO, CA 921275705
Phone: (858) 554-7909
Type: Mailing
North Torrey Pines Road, La Jolla Farms, Torrey Pines, San Diego, San Diego County, California, 92093, United States
LA JOLLA, CA 920371027
Phone: (858) 554-7909
Type: Location
325 9TH AVE
SEATTLE, WA 981042420
Phone: (206) 520-5000
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone:
Type: Mailing
3512 CELINDA DR
CARLSBAD, CA 920082768
Phone: (858) 245-0047
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.
Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Becton, Dickinson and Company ($450).
Total Amount
$450
General + Research + Ownership
Payments
1
Total payment records
General Amount
$450
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $450 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170825000686 | I | Anesthesiology | CA | TBD |
| I20201029000310 | I | Anesthesiology | WA | TBD |
| I20220629001490 | I | Anesthesiology | LA | TBD |
| I20230914001347 | I | Anesthesiology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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