DR. LUCI MARIO KOVACEVIC (M.D., M.P.H.) – Occupational Medicine Physician, NPI 1417177304
Occupational Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
26 PREVENTIVE MEDICINE in OR
Provider Addresses for DR. LUCI MARIO KOVACEVIC (M.D., M.P.H.)
2650 Suzanne Way Ste 200
Eugene, OR 974087619
Phone: (541) 228-3050
Fax: (541) 228-3050
Type: Location
1100 7TH AVE SW
ALBANY, OR 973211925
Phone: (541) 812-5600
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
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: 2008-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081027000749 | I | Preventive Medicine | OR | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 79 | 79 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 53 | 53 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 52 | 52 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 42 | 42 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 38 | 38 | $0 |
Insurance plans in this area (ZIP 97408)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OR | |
| Occupational Therapist In Private Practice | VA | |
| Mental Health Counselor | OR | |
| Physical Therapist In Private Practice | OR | |
| Registered Dietitian Or Nutrition Professional | OR | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Mental Health Counselor | OR | |
| Registered Dietitian Or Nutrition Professional | OR |
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