BENJAMIN KUKULL (MD) – Molecular Genetic Pathology (Pathology) Physician, NPI 1588050157
Molecular Genetic Pathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 PATHOLOGY in OR
Provider Addresses for BENJAMIN KUKULL (MD)
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-8211
Type: Location
15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 841121100
Phone: (801) 581-4390
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2026-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20211108002808 | I | Pathology | OR | TBD |
| I20211117003314 | I | Pathology | WA | TBD |
| I20260116002378 | I | Pathology | TX | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 159 | 102 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 141 | 31 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 120 | 43 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 64 | 52 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 54 | 17 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OR | |
| P A T H O L O G Y | OR | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | OR | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | MD | |
| - | OR | |
| P A T H O L O G Y | CA | |
| - | OR |
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