BRIAN GULACK – Pediatric Surgery Physician, NPI 1396036406
Pediatric Surgery Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN GULACK
1555 BARRINGTON RD
HOFFMAN ESTATES, IL 601691019
Phone: (224) 299-4222
Type: Mailing
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $4,530.
Total Amount is formed as General ($4,530) + Research ($0) + Ownership ($0) = $4,530.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,028).
Total Amount
$4,530
General + Research + Ownership
Payments
11
Total payment records
General Amount
$4,530
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,028 |
| Hologic Sales and Service, LLC | $868 |
| Stryker Corporation | $603 |
| KLS-Martin L.P. | $30 |
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: 2023-02-17
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 |
|---|---|---|---|---|
| I20200812000676 | I | General Surgery | IL | TBD |
| I20230217000853 | I | General Surgery | IN | 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 60169)
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