DR. STEPHANIE PULOKA (M.D.) – Family Medicine Physician, NPI 1255537023
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. STEPHANIE PULOKA (M.D.)
163, Fort Evans Road Northeast, Leesburg, Loudoun County, Virginia, 20176, United States
LEESBURG, VA 201764420
Phone: (703) 443-2000
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)
CMS reports 9 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Coala Life Inc ($60).
Total Amount
$173
General + Research + Ownership
Payments
9
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coala Life Inc | $60 |
| Exact Sciences Corporation | $42 |
| GlaxoSmithKline, LLC. | $34 |
| Medtronic, Inc. | $20 |
| PFIZER INC. | $17 |
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: 2022-12-15
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 |
|---|---|---|---|---|
| I20151228001928 | I | Family Practice | VA | TBD |
| I20221215000454 | I | Family Practice | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 90670 | Pneumococcal vaccine for injection into muscle | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| - | CA | |
| Diagnostic Radiology | SC | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| - | VA | |
| - | VA |
Reviews
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