KEVIN C LA COUR (MD) – Diagnostic Radiology Physician, NPI 1407855786

KEVIN C LA COUR (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD00045665 (WA). The NPI Number for KEVIN C LA COUR (MD) is 1407855786

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN C LA COUR (MD)
NPI
1407855786
Phone
(971) 344-5233
Address
10180 SE SUNNYSIDE RD
Enumeration Date
19 July 2005
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
8008132000
Graduation Year
1999 (27 years ago)
PAC ID
7810945870
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20080303000251
Address ID
OR973069427SA5125XSXXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for KEVIN C LA COUR (MD)

  • Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970158970

    Phone: (971) 344-5233

    Mailing address matches the actual address.

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: 2010-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080303000251IDiagnostic RadiologyORTBD
I20100113000739IDiagnostic RadiologyWATBD

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
71045X-ray of chest, 1 view2826$0
71046X-ray of chest, 2 views1716$0
70450Ct scan head or brain without contrast1414$0
View full utilization report →

Insurance plans in this area (ZIP 97015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What NPI should I save for KEVIN C LA COUR (MD)?
Save NPI 1407855786 if you need a stable reference for KEVIN C LA COUR (MD).
Does this profile mean KEVIN C LA COUR (MD) is currently active?
Yes — KEVIN C LA COUR (MD) appears active in the national provider directory.
Does KEVIN C LA COUR (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for KEVIN C LA COUR (MD). Clinical services aligned with this taxonomy classification.
Where does public data place KEVIN C LA COUR (MD)?
The snapshot lists Clackamas, Oregon for KEVIN C LA COUR (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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