RACHEL I KORNIK (M.D.) – Dermatology Physician, NPI 1063689727
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for RACHEL I KORNIK (M.D.)
UW HEALTH DEPT OF DERMATOLOGY 1 S. PARK ST
ADMINISTRATIVE OFFICE 7TH FLOOR
MADISON, WI 53715
Phone: (608) 287-2658
Type: Location
UW health Dept of Dermatology 1 S. Park St
Administrative office 7th floor
madison, WI 53715
Phone: (608) 287-2658
Type: Location
752 N High Point Rd
Madison, WI 537172236
Phone: (608) 824-4000
Fax: (608) 824-4949
Type: Location
PO BOX 1234
ALBANY, NY 122011234
Phone: (802) 582-8239
Type: Mailing
53 FAIRFAX RD
SAINT ALBANS, VT 054784405
Phone: (802) 582-4900
Fax: (802) 782-8239
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
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: 2017-01-17
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 |
|---|---|---|---|---|
| I20170117001524 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 11102 | Biopsy of related skin growth, first growth | 279 | 241 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 265 | 213 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 228 | 83 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 217 | 121 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | 156 | $0 |
Insurance plans in this area (ZIP 53715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| - | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | NE | |
| - | WI | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Cardiovascular Disease (Cardiology) | TX | |
| - | WI | |
| Family Practice | WI |
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