DR. KETAN G KULKARNI (MD) – Gastroenterology Physician, NPI 1710994231
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,185 GASTROENTEROLOGY in PA
Provider Addresses for DR. KETAN G KULKARNI (MD)
2104 Harrisburg Pike
Suite 300
Lancaster, PA 17601
Phone: (717) 544-3400
Fax: (717) 544-3408
Type: Location
202, Harrisburg Avenue, Lancaster, Lancaster County, Pennsylvania, 17603, United States
LANCASTER, PA 17601
Phone: (717) 869-4600
Fax: (717) 544-3501
Type: Location
2112 HARRISBURG PIKE STE 212
LANCASTER, PA 176012644
Phone: (717) 869-4600
Fax: (717) 544-3501
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $2,913.
Total Amount is formed as General ($2,913) + Research ($0) + Ownership ($0) = $2,913.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($905).
Total Amount
$2,913
General + Research + Ownership
Payments
125
Total payment records
General Amount
$2,913
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $905 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $155 |
| Janssen Biotech, Inc. | $138 |
| Lilly USA, LLC | $133 |
| JAZZ PHARMACEUTICALS INC. | $128 |
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: 2009-08-12
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 |
|---|---|---|---|---|
| I20090812000307 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 117 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 81 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 81 | 78 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | 79 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 62 | 61 | $0 |
Insurance plans in this area (ZIP 17601)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| - | PA | |
| Physician Assistant | MD | |
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| Physician Assistant | PA |
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