DR. AMY KULAK (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1689823783

DR. AMY KULAK (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME116872 (FL). The NPI Number for DR. AMY KULAK (MD) is 1689823783

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY KULAK (MD)
NPI
1689823783
Phone
(904) 398-2720
Address
12926 PALMETTO GLADE DR
Enumeration Date
12 September 2008
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9047755275
Graduation Year
2009 (17 years ago)
PAC ID
5597999110
Professional Enrollment ID
I20131014000857
Address ID
FL322503813JA530XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,552 OPHTHALMOLOGY in FL

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Provider Addresses for DR. AMY KULAK (MD)

  • 12926, Palmetto Glade Drive, The Woods, Jacksonville, Duval County, Florida, 32246, United States

    JACKSONVILLE, FL 322464119

    Phone: (904) 398-2720

    Fax: (904) 483-5650

    Type: Mailing

  • Southpoint Parkway, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 32216

    Phone: (904) 398-2720

    Fax: (904) 486-5650

    Type: Location

  • 572 JACKSONVILLE DR

    JACKSONVILLE BEACH, FL 322503813

    Phone: (904) 775-5275

    Fax: (904) 853-1414

    Type: Mailing

  • 530 JACKSONVILLE DR

    JACKSONVILLE BEACH, FL 322503813

    Phone: (904) 775-5275

    Fax: (904) 853-1414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $2,409.

Total Amount is formed as General ($2,409) + Research ($0) + Ownership ($0) = $2,409.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lumenis BE inc ($1,321).

Total Amount

$2,409

General + Research + Ownership

Payments

31

Total payment records

General Amount

$2,409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2013-10-14

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
I20131014000857IOphthalmologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92285Photography of content of eyes311309$0
99204New patient office or other outpatient visit, 45-59 minutes202202$0
92082Exam of visual field with intermediate testing128127$0
99203New patient office or other outpatient visit, 30-44 minutes9393$0
99213Established patient office or other outpatient visit, 20-29 minutes4644$0
View full utilization report →

Insurance plans in this area (ZIP 32246)

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Provider's Procedures

DR. AMY KULAK (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient274191

Reviews

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Frequently asked questions

Can I verify DR. AMY KULAK (MD) with an NPI only?
You can start verification with NPI 1689823783 for DR. AMY KULAK (MD), then check state licensing separately.
Can I rely on DR. AMY KULAK (MD) being an active provider?
As of the registry snapshot, DR. AMY KULAK (MD) is marked active.
What taxonomy line describes DR. AMY KULAK (MD)?
For research purposes, treat DR. AMY KULAK (MD) as Ophthalmic Plastic and Reconstructive Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMY KULAK (MD) on a map?
Expect Jacksonville, Florida as a primary anchor for DR. AMY KULAK (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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