DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) – Chiropractor, NPI 1205107083

DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) is a healthcare provider. based in Russell springs, Kentucky. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 5319 (KY). The NPI Number for DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) is 1205107083

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.)
NPI
1205107083
Phone
(270) 866-3543
Address
350 LAKEWAY DRIVE
Enumeration Date
25 January 2012
Last Update Date
19 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708663543
Graduation Year
2011 (15 years ago)
PAC ID
9032379615
Professional Enrollment ID
I20120320000524
Address ID
KY426420265RU350XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

561 CHIROPRACTIC in KY

Provider Addresses for DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.)

  • 350 LAKEWAY DRIVE

    RUSSELL SPRINGS, KY 42642

    Phone: (270) 866-3543

    Fax: (270) 866-8371

    Type: Location

  • PO BOX 265

    RUSSELL SPRINGS, KY 426420265

    Phone: (270) 866-3543

    Fax: (270) 866-8371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120320000524IChiropracticKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions18224$0
View full utilization report →

Insurance plans in this area (ZIP 42642)

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Reviews

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Frequently asked questions

Can I cross-check DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) using NPI 1205107083?
NPI 1205107083 belongs to DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.); compare other details if you need extra assurance.
Would DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) appear as active to a payer?
You can treat DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.)?
DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.)?
Directory geography for DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) centers on Russell Springs, Kentucky.
When was this NPI issued?
Enumeration for DR. BETHANY VICTORIA COOPER-CUNDIFF D.C. (D.C.) is noted as January 25, 2012 where the registry provides it.

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