MICHAEL JAMES KUSHNER (MD) – Neurology Physician, NPI 1417911223
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL JAMES KUSHNER (MD)
35 SEA MARSH RD
FERNANDINA BEACH, FL 320345039
Phone: (252) 245-1731
Type: Mailing
262 LEROY GEORGE DR
CLYDE, NC 287217430
Phone: (828) 456-7311
Type: Location
120, William Penn Plaza, Stadium Heights, Durham, Durham County, North Carolina, 27704, United States
DURHAM, NC 277042150
Phone: (919) 220-5255
Fax: (919) 313-1276
Type: Mailing
Forest Hills Road Southwest, Crestview, Wilson, Wilson County, North Carolina, 27893, United States
WILSON, NC 278953148
Phone: (252) 243-9629
Fax: (252) 243-0915
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: 2022-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101117000566 | I | Neurology | NC | TBD |
| I20220525002863 | I | Neurology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| Orthopedic Surgery | NC | |
| - | GA | |
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Occupational Therapist In Private Practice | NY | |
| - | NC | |
| Physical Therapist In Private Practice | NC | |
| Orthopedic Surgery | NC |
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