JEFFREY S WULFMAN (MD) – Family Medicine Physician, NPI 1063401537

JEFFREY S WULFMAN (MD) is a healthcare provider. based in Bristol, Vermont. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 042 0009739 (VT). The NPI Number for JEFFREY S WULFMAN (MD) is 1063401537

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY S WULFMAN (MD)
NPI
1063401537
Phone
(802) 453-5028
Address
74 MUNSILL AVE
Enumeration Date
18 October 2005
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8024535028
Graduation Year
1991 (35 years ago)
PAC ID
0042376741
Group Practice PAC ID
9638321342
Professional Enrollment ID
I20090304000706
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

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Provider Addresses for JEFFREY S WULFMAN (MD)

  • 74, Munsill Avenue, Bristol Downtown Historic District, Bristol, Addison County, Vermont, 05443, United States

    SUITE 100

    BRISTOL, VT 054431032

    Phone: (802) 453-5028

    Fax: (802) 453-6105

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-03-04

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
I20090304000706IFamily PracticeVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05443)

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Provider's Procedures

JEFFREY S WULFMAN (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVT81002Urinalysis, manual test1413

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: 9638321342View full group profile
NameSpecialtyState
Family PracticeVT
Internal Medicine, Obstetrics/Gynecology, Family PracticeVT
-VT
Nurse PractitionerMA
-VT
Nurse PractitionerVT
-VT
Nurse PractitionerVT
Physician AssistantVT
Family PracticeMO

Reviews

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Frequently asked questions

How do payers reference JEFFREY S WULFMAN (MD)?
For JEFFREY S WULFMAN (MD), use NPI 1063401537 as the unique 10-digit identifier.
Is JEFFREY S WULFMAN (MD) shown as active in public data?
Registry records indicate JEFFREY S WULFMAN (MD) maintains an active NPI.
What area of care is associated with JEFFREY S WULFMAN (MD)?
JEFFREY S WULFMAN (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JEFFREY S WULFMAN (MD)?
Directory geography for JEFFREY S WULFMAN (MD) centers on Bristol, Vermont.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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