DR. ABHIJIT KULKARNI (MD) – Gastroenterology Physician, NPI 1609877521
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,185 GASTROENTEROLOGY in PA
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Provider Addresses for DR. ABHIJIT KULKARNI (MD)
Federal Street, North Shore, Pittsburgh, Allegheny County, Pennsylvania, 15222, United States
PITTSBURGH, PA 152124761
Phone: (412) 359-8900
Fax: (412) 359-8977
Type: Mailing
1200 J D Anderson Dr
Morgantown, WV 265053494
Phone: (304) 598-1200
Fax: (304) 598-1699
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($114).
Total Amount
$376
General + Research + Ownership
Payments
14
Total payment records
General Amount
$376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $114 |
| ABBVIE INC. | $80 |
| Sandoz Inc. | $42 |
| Boston Scientific Corporation | $41 |
| Amgen Inc. | $30 |
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: 2021-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050610000347 | I | Gastroenterology | PA | TBD |
| I20210825002225 | I | Gastroenterology | WV | 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 |
|---|---|---|---|---|
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 53 | 41 | $0 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 37 | 28 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 36 | 36 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | 32 | $0 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 31 | 27 | $0 |
Insurance plans in this area (ZIP 15212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | PA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Radiation Oncology | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Critical Care (Intensivists), General Surgery | PA | |
| Physician Assistant | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| A N E S T H E S I O L O G Y | PA | |
| - | PA | |
| - | PA |
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