DR. EDWARD KOROT (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1669853768

DR. EDWARD KOROT (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. A168016 (CA). The NPI Number for DR. EDWARD KOROT (M.D.) is 1669853768

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD KOROT (M.D.)
NPI
1669853768
Phone
(616) 954-2020
Address
5030 CASCADE RD SE
Enumeration Date
15 June 2015
Last Update Date
10 January 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6169542020
Graduation Year
2015 (11 years ago)
PAC ID
2567771389
Group Practice PAC ID
9436211919
Professional Enrollment ID
I20220803000515
Address ID
MI495463725GR5030XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

844 OPHTHALMOLOGY in MI

Provider Addresses for DR. EDWARD KOROT (M.D.)

  • 5030 CASCADE RD SE

    GRAND RAPIDS, MI 495463725

    Phone: (616) 954-2020

    Fax: (616) 949-0408

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (248) 898-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $38,866.

Total Amount is formed as General ($38,866) + Research ($0) + Ownership ($0) = $38,866.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: TOPCON MEDICAL SYSTEMS, INC. ($25,413).

Total Amount

$38,866

General + Research + Ownership

Payments

78

Total payment records

General Amount

$38,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2022-08-03

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
I20220803000515IOphthalmologyMITBD

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
92134Imaging of retina729271$0
67028Injection of drug into eye493135$0
J0178Injection, aflibercept, 1 mg42256$0
J3590Unclassified biologics28885$0
92250Photography of the retina278202$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 9436211919View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to DR. EDWARD KOROT (M.D.)?
The federal identifier for DR. EDWARD KOROT (M.D.) is NPI 1669853768.
Is DR. EDWARD KOROT (M.D.) active in the national directory?
DR. EDWARD KOROT (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. EDWARD KOROT (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. EDWARD KOROT (M.D.) with Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. EDWARD KOROT (M.D.)?
The snapshot lists Grand Rapids, Michigan for DR. EDWARD KOROT (M.D.); download NPPES for the complete set.
How can I contact DR. EDWARD KOROT (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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