DR. JOHN R KUCZYNSKI (M.D.) – Gastroenterology Physician, NPI 1497897771

DR. JOHN R KUCZYNSKI (M.D.) is a healthcare provider. based in Olympia, Washington. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 76493 (AZ). The NPI Number for DR. JOHN R KUCZYNSKI (M.D.) is 1497897771

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN R KUCZYNSKI (M.D.)
NPI
1497897771
Phone
(360) 754-1735
Address
406A BLACK HILLS LN SW
Enumeration Date
13 February 2007
Last Update Date
27 March 2012

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3607043400
Graduation Year
2004 (22 years ago)
PAC ID
0941300057
Group Practice PAC ID
4789571092
Professional Enrollment ID
I20110721000809
Address ID
WA985028701OL3920XSWXX506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

474 GASTROENTEROLOGY in WA

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Provider Addresses for DR. JOHN R KUCZYNSKI (M.D.)

  • 406, Black Hills Lane Southwest, Olympia, Thurston County, Washington, 98502, United States

    OLYMPIA, WA 98502

    Phone: (360) 754-1735

    Fax: (360) 704-3404

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-12-26 • Largest payer in this snapshot: CapsoVision, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CapsoVision, Inc.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2011-07-21

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
I20110721000809IGastroenterologyWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes497372$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare210209$0
99213Established patient office or other outpatient visit, 20-29 minutes198183$0
88305Pathology examination of tissue using a microscope, intermediate complexity16860$0
45380Biopsy of large bowel using a flexible endoscope136135$0
View full utilization report →

Insurance plans in this area (ZIP 98502)

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Provider's Procedures

DR. JOHN R KUCZYNSKI (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYWA45385Removal of polyps or growths of large bowel using an endoscope143143
GASTROENTEROLOGYWA88312Special stained specimen slides to identify organisms including interpretation and report4140

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: 4789571092View full group profile
NameSpecialtyState
P A T H O L O G YWA
P A T H O L O G YFL
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)NE
N E U R O L O G YWA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA

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Frequently asked questions

What number should I use to identify DR. JOHN R KUCZYNSKI (M.D.) for billing?
Administrative and clinical systems typically use NPI 1497897771 for DR. JOHN R KUCZYNSKI (M.D.).
Should I treat DR. JOHN R KUCZYNSKI (M.D.) as an active provider?
Patients and plans typically see DR. JOHN R KUCZYNSKI (M.D.) as active in the national extract.
What type of care does DR. JOHN R KUCZYNSKI (M.D.) provide?
DR. JOHN R KUCZYNSKI (M.D.)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHN R KUCZYNSKI (M.D.)?
The directory associates DR. JOHN R KUCZYNSKI (M.D.) with Olympia, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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