CHRISTO W KOULISIS (MD) – Specialist, NPI 1780673749
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Stryker Corporation | $2,296 |
| Zimmer Biomet Holdings, Inc. | $195 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040121000913 | I | Orthopedic Surgery | FL | TBD |
| I20090924000733 | I | Orthopedic Surgery | WA | TBD |
| I20160725001673 | I | Orthopedic Surgery | NC | 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 |
|---|---|---|---|---|
| 27245 | Treatment of broken neck of thigh bone with bone implant | 30 | 30 | $0 |
| 27235 | Placement of stabilizing device for upper end of broken thigh bone | 15 | 15 | $0 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32578)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
Reviews
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