DR. CRAIG LEE CUPP (MD, ED.D) – Facial Plastic Surgery Physician, NPI 1609848621

Facial Plastic Surgery Physician

DR. CRAIG LEE CUPP (MD, ED.D) is a healthcare provider. based in Bremerton, Washington. specializing in Facial Plastic Surgery Physician. They hold the professional credentials MD, ED.D. They hold a License No. G47673 (CA). The NPI Number for DR. CRAIG LEE CUPP (MD, ED.D) is 1609848621

Main info

Male

45 Years Of Experience

Accepts Medicare Assignment

Name

DR. CRAIG LEE CUPP (MD, ED.D)

NPI

1609848621

Phone

(360) 475-4214

Address

1 BOONE RD

Enumeration Date

3 February 2006

Last Update Date

20 August 2010

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1981 (45 years ago)

PAC ID

2961658646

Group Practice PAC ID

0547173866

Professional Enrollment ID

I20120813000318

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CRAIG LEE CUPP (MD, ED.D)

Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
ATTN: MEDICAL STAFF SERVICES
BREMERTON, WA 983121894
Phone: (360) 475-4214
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98312)

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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: 0547173866View full group profile

Name	Specialty	State
DAWN EWING GALVEZ (FNP-C)	-	SC
MRS. TIFFANY C CRABB (PA-C)	Physician Assistant	WA
MS. GRETCHEN CORNWALL BERNI (ARNP)	-	WA
DR. DEEPALI JAIN (MD)	General Surgery	MI
DR. FRANSJE JEREONTJE SLOTHOUBER GILES (DNP, NP-C)	-	WA
LARA KIM (ARNP)	Nurse Practitioner	WA
DAVID R BHASKAR (MD)	-	WI
JOHN JOSEPH CORRALES-DIAZ (MD)	-	WA
LYNN A CLARK (ARNP)	-	WA
DR. SHERI LYNN PETERSON-BUCKLEY (MD)	Family Practice	WA

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Frequently asked questions

What unique ID ties claims to DR. CRAIG LEE CUPP (MD, ED.D)?

NPI 1609848621 is assigned to DR. CRAIG LEE CUPP (MD, ED.D) under the national enumeration system.

Is DR. CRAIG LEE CUPP (MD, ED.D)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does DR. CRAIG LEE CUPP (MD, ED.D) treat or focus on?

Patients typically see DR. CRAIG LEE CUPP (MD, ED.D) under the specialty Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for DR. CRAIG LEE CUPP (MD, ED.D)?

The page summarizes Bremerton, Washington for DR. CRAIG LEE CUPP (MD, ED.D); expand the address list for detail.

Is DR. CRAIG LEE CUPP (MD, ED.D) a real provider?

This page reflects official NPPES data for NPI 1609848621. Always confirm identity and privileges with the practice and licensing boards.