DAVID R CUNDIFF (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1497707715
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID R CUNDIFF (M.D.)
PO BOX E
ILWACO, WA 986240170
Phone: (360) 867-0949
Type: Mailing
800 WASHINGTON AVE N
LONG BEACH, WA 986313806
Phone: (360) 244-4707
Fax: (360) 642-3014
Type: Location
2156 Pacific Ave
Tacoma, WA 984023004
Phone: (855) 478-3650
Fax: (253) 200-0636
Type: Location
1011 10th Ave SE
Olympia, WA 985011566
Phone: (360) 349-0033
Fax: (360) 742-3430
Type: Location
250, Fort Street, Neah Bay, Clallam County, Washington, 98357, United States
NEAH BAY, WA 98357
Phone: (360) 645-2233
Fax: (360) 645-2503
Type: Location
Olympia Post Office, 8-10, North End Road, West Kensington, London Borough of Hammersmith and Fulham, Greater London, England, W14 0SH, United Kingdom
OLYMPIA, WA 985077612
Phone: (360) 870-2483
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: 2004-06-07
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 |
|---|---|---|---|---|
| I20040607000837 | I | Preventive Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98624)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OR | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | TX | |
| - | WA | |
| Clinical Social Worker | WA | |
| Clinical Social Worker | OR | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
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