DR. FULTON CHRISTOPHER KORNACK (MD) – Orthopaedic Surgery Physician, NPI 1407837651

DR. FULTON CHRISTOPHER KORNACK (MD) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 49472 (MA). The NPI Number for DR. FULTON CHRISTOPHER KORNACK (MD) is 1407837651

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. FULTON CHRISTOPHER KORNACK (MD)
NPI
1407837651
Phone
(617) 522-1734
Address
1153 CENTRE ST
Enumeration Date
7 November 2005
Last Update Date
27 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
6175229461
Graduation Year
1980 (46 years ago)
PAC ID
3577591841
Group Practice PAC ID
4981632346
Professional Enrollment ID
I20050728000279
Address ID
MA021303446JA1153XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

947 ORTHOPEDIC SURGERY in MA

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Provider Addresses for DR. FULTON CHRISTOPHER KORNACK (MD)

  • Brigham & Women's Faulkner Hospital, 1153, Centre Street, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    SUITE 54

    JAMAICA PLAIN, MA 021303446

    Phone: (617) 522-1734

    Fax: (617) 522-8325

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Orthofix Medical, Inc. ($26).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

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: 2005-07-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050728000279IOrthopedic SurgeryMATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,921139$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg54511$0
99213Established patient office or other outpatient visit, 20-29 minutes366184$0
20610Aspiration and/or injection of fluid from large joint255150$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
View full utilization report →

Insurance plans in this area (ZIP 02130)

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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: 4981632346View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is DR. FULTON CHRISTOPHER KORNACK (MD)'s NPI number?
DR. FULTON CHRISTOPHER KORNACK (MD)'s NPI is 1407837651 — the number used across U.S. healthcare to identify this provider.
Is DR. FULTON CHRISTOPHER KORNACK (MD) shown as active in public data?
Registry records indicate DR. FULTON CHRISTOPHER KORNACK (MD) maintains an active NPI.
How would a patient describe DR. FULTON CHRISTOPHER KORNACK (MD)'s focus?
For DR. FULTON CHRISTOPHER KORNACK (MD), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. FULTON CHRISTOPHER KORNACK (MD)?
Directory geography for DR. FULTON CHRISTOPHER KORNACK (MD) centers on Jamaica Plain, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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