DR. CORY ALLEN LUNDBERG (DO) – Hospitalist Physician, NPI 1992934624

DR. CORY ALLEN LUNDBERG (DO) is a healthcare provider. based in Gig harbor, Washington. specializing in HOSPITALIST, ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OP60729233 (WA). The NPI Number for DR. CORY ALLEN LUNDBERG (DO) is 1992934624

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY ALLEN LUNDBERG (DO)
NPI
1992934624
Phone
(253) 426-6341
Address
11567 CANTERWOOD BLVD
Enumeration Date
1 July 2009
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
2534266341
Graduation Year
2009 (17 years ago)
PAC ID
5597025692
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20180713002741
Address ID
WA983325812GI11567NWXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:16State licenses:1Other names

1,188 HOSPITALIST in WA

Provider Addresses for DR. CORY ALLEN LUNDBERG (DO)

  • 11567 CANTERWOOD BLVD

    GIG HARBOR, WA 983325812

    Phone: (253) 426-6341

    Fax: (253) 426-6344

    Type: Mailing

  • MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 968-2252

    Type: Mailing

  • Madigan Army Medical Center 9040 Jackson Ave

    Tacoma, WA 98431

    Phone: (253) 968-2252

    Type: Location

  • 209 Martin Luther King Jr Way

    Tacoma, WA 984054267

    Phone: (253) 596-3300

    Fax: (253) 596-3301

    Type: Location

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: 2018-07-13

PECOS data refreshed: 2026-06-15

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
I20180713002741IHospitalistWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98332)

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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

Reviews

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Frequently asked questions

What is DR. CORY ALLEN LUNDBERG (DO)'s NPI number?
DR. CORY ALLEN LUNDBERG (DO)'s NPI is 1992934624 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. CORY ALLEN LUNDBERG (DO)?
You should see DR. CORY ALLEN LUNDBERG (DO) as active in CMS-hosted NPPES data.
What kind of doctor is DR. CORY ALLEN LUNDBERG (DO)?
DR. CORY ALLEN LUNDBERG (DO) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CORY ALLEN LUNDBERG (DO) associated with Gig Harbor?
Public fields place DR. CORY ALLEN LUNDBERG (DO) around Gig Harbor, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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