CHRISTO W KOULISIS (MD) – Specialist, NPI 1780673749

CHRISTO W KOULISIS (MD) is a healthcare provider. based in Niceville, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301503101 (MI). The NPI Number for CHRISTO W KOULISIS (MD) is 1780673749

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTO W KOULISIS (MD)
NPI
1780673749
Phone
(850) 279-6485
Address
1003 COLLEGE BLVD W
Enumeration Date
20 October 2005
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
2539447977
Graduation Year
1983 (43 years ago)
PAC ID
7517867807
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20090924000733
Address ID
WA980036761FE34515SXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for CHRISTO W KOULISIS (MD)

  • 1003, College Boulevard, Niceville, Valparaiso, Okaloosa County, Florida, 32578, United States

    SUITE 4

    NICEVILLE, FL 325781068

    Phone: (850) 279-6485

    Fax: (850) 279-6546

    Type: Mailing

  • 1003 COLLEGE BLVD W STE 4

    NICEVILLE, FL 325781060

    Phone: (850) 279-6789

    Fax: (850) 279-6546

    Type: Mailing

  • 560 W MITCHELL ST STE 560

    PETOSKEY, MI 497702279

    Phone: (231) 487-5400

    Fax: (231) 487-5301

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $2,491.

Total Amount is formed as General ($2,491) + Research ($0) + Ownership ($0) = $2,491.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Stryker Corporation ($2,296).

Total Amount

$2,491

General + Research + Ownership

Payments

27

Total payment records

General Amount

$2,491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040121000913IOrthopedic SurgeryFLTBD
I20090924000733IOrthopedic SurgeryWATBD
I20160725001673IOrthopedic SurgeryNCTBD

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
27245Treatment of broken neck of thigh bone with bone implant3030$0
27235Placement of stabilizing device for upper end of broken thigh bone1515$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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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 the 10-digit NPI for CHRISTO W KOULISIS (MD)?
CHRISTO W KOULISIS (MD) — NPI 1780673749 — is the standard way to identify this listing.
Is CHRISTO W KOULISIS (MD) still practicing?
CHRISTO W KOULISIS (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes CHRISTO W KOULISIS (MD)?
For research purposes, treat CHRISTO W KOULISIS (MD) as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTO W KOULISIS (MD)?
CHRISTO W KOULISIS (MD)'s geographic hint is Niceville, Florida in our summary view.
Is the information about CHRISTO W KOULISIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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