DR. STEPHEN S KORNBLUTH (M.D.) – Family Medicine Physician, NPI 1811948847

DR. STEPHEN S KORNBLUTH (M.D.) is a healthcare provider. based in Rutland, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 153606 (NY). The NPI Number for DR. STEPHEN S KORNBLUTH (M.D.) is 1811948847

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN S KORNBLUTH (M.D.)
NPI
1811948847
Phone
(802) 772-4414
Address
71 ALLEN STREET
Enumeration Date
15 May 2006
Last Update Date
2 September 2016

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
8024685641
Graduation Year
1980 (46 years ago)
PAC ID
4880786334
Group Practice PAC ID
2961467386
Professional Enrollment ID
I20070828001010
Address ID
VT057329647BO275XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

355 FAMILY PRACTICE in VT

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Provider Addresses for DR. STEPHEN S KORNBLUTH (M.D.)

  • 71, Allen Street, Brookside Trailer Park, Rutland City, Rutland County, Vermont, 05701, United States

    SUITE 403

    RUTLAND, VT 057014570

    Phone: (802) 772-4414

    Fax: (802) 772-7973

    Type: Mailing

  • Vermont Route 30 North, Bomoseen, Castleton, Rutland County, Vermont, 05732, United States

    BOMOSEEN, VT 057329647

    Phone: (802) 468-5641

    Fax: (802) 468-2923

    Type: Location

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: 2007-08-28

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
I20070828001010IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample7761$0
83036Hemoglobin a1c level2820$0
82274Stool analysis for blood, by fecal hemoglobin determination by immunoassay1514$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1111$0
View full utilization report →

Insurance plans in this area (ZIP 05701)

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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: 2961467386View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
-VT
Family PracticeVT
-VT
Internal Medicine, Obstetrics/Gynecology, Family PracticeVT
-VT
Physician AssistantVT
-VT
Nurse PractitionerVT

Reviews

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Frequently asked questions

What is DR. STEPHEN S KORNBLUTH (M.D.)'s NPI number?
DR. STEPHEN S KORNBLUTH (M.D.)'s NPI is 1811948847 — the number used across U.S. healthcare to identify this provider.
Is DR. STEPHEN S KORNBLUTH (M.D.) shown as active in public data?
Registry records indicate DR. STEPHEN S KORNBLUTH (M.D.) maintains an active NPI.
How would a patient describe DR. STEPHEN S KORNBLUTH (M.D.)'s focus?
For DR. STEPHEN S KORNBLUTH (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Vermont is DR. STEPHEN S KORNBLUTH (M.D.) registered?
Use Rutland, Vermont as the headline location for DR. STEPHEN S KORNBLUTH (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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