SAMUEL D KULICK (DPM) – Podiatrist, NPI 1023016987
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
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Provider Addresses for SAMUEL D KULICK (DPM)
University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
BLDG C
JACKSONVILLE, FL 322164250
Phone: (904) 731-1711
Fax: (904) 731-9270
Type: Mailing
9397 SAN JOSE BLVD UNIT 1
JACKSONVILLE, FL 322575637
Phone: (904) 731-9293
Fax: (904) 636-0223
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Organogenesis Inc. ($110).
Total Amount
$127
General + Research + Ownership
Payments
7
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $110 |
| Smith+Nephew, Inc. | $17 |
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: 2007-11-15
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 |
|---|---|---|---|---|
| I20071115000262 | I | Podiatry | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 423 | 144 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 359 | 65 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 334 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 265 | 161 | $0 |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 204 | 21 | $0 |
Insurance plans in this area (ZIP 32216)
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Provider's Procedures
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