RICK FORNELLI (M.D.) – Otolaryngology Physician, NPI 1316998263
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
641 OTOLARYNGOLOGY in PA
Provider Addresses for RICK FORNELLI (M.D.)
380 E BAYFRONT PKWY STE 3
ERIE, PA 165072408
Phone: (814) 877-9060
Fax: (814) 877-9089
Type: Mailing
Shriners Hospitals for Children, 1645, West 8th Street, Frontier, Erie, Erie County, Pennsylvania, 16505, United States
#200
ERIE, PA 165055007
Phone: (814) 864-9994
Fax: (814) 866-2655
Type: Mailing
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 $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($107).
Total Amount
$150
General + Research + Ownership
Payments
3
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $107 |
| Acclarent, Inc | $23 |
| DePuy Synthes Sales Inc. | $19 |
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: 2011-01-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110119001072 | I | Otolaryngology | PA | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 546 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 291 | 196 | $0 |
| 69210 | Removal of impacted ear wax | 182 | 133 | $0 |
| 95117 | Professional service for multiple injections of allergen | 182 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 160 | 160 | $0 |
Insurance plans in this area (ZIP 16507)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | PA | |
| - | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Diagnostic Radiology | NV | |
| - | PA | |
| Diagnostic Radiology | PA |
Reviews
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