PETER MALCOLM CUCKOW (MD) – Pediatric Urology Physician, NPI 1649092628
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PETER MALCOLM CUCKOW (MD)
8930 Ohio River Rd
Wheelersburg, OH 456941922
Phone: (614) 722-2000
Type: Location
405 Butterfly Gardens Dr
Columbus, OH 432154985
Phone: (614) 722-2000
Type: Location
4363 All Seasons Dr
Hilliard, OH 430262050
Phone: (614) 722-2000
Type: Location
6435 E Broad St
Columbus, OH 432131507
Phone: (614) 722-2000
Type: Location
1 Childrens Plz
Dayton, OH 454041873
Phone: (614) 722-2000
Type: Location
5675 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Type: Location
700 Childrens Dr
Columbus, OH 432052664
Phone: (614) 722-6630
Type: Location
536 S Trimble Rd
Mansfield, OH 449063418
Phone: (614) 722-2000
Type: Location
730 W Market St
Lima, OH 458014602
Phone: (614) 722-2000
Type: Location
7853 Pacer Dr
Delaware, OH 430157571
Phone: (614) 722-2000
Type: Location
830 W High St
Lima, OH 458013971
Phone: (614) 722-2000
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 722-2000
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-6630
Type: Mailing
7901 Diley Rd Ste 150
Canal Winchester, OH 431109613
Phone: (614) 722-2000
Type: Location
740 Adair Ave
Zanesville, OH 437012838
Phone: (614) 722-2000
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2000
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-2000
Type: Location
4363 All Seasons Dr Ste 100
Hilliard, OH 430262050
Phone: (614) 722-2000
Type: Location
555 S 18TH ST
COLUMBUS, OH 432052654
Phone: (614) 722-2000
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: 2025-02-04
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 |
|---|---|---|---|---|
| I20250204002344 | I | Urology | OH | 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 45694)
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