Doctor profile · Federal record
Dr. Hubert Fornalik, MD
Gynecologic Oncology Physician (CMS: Gynecological Oncology) · Obstetrics & Gynecology Physician · Obstetrics & Gynecology Physician · Obstetrics & Gynecology Physician · Indianapolis, IN
- NPI 1255549812
- Accepts Medicare
- 26 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8111 S Emerson Ave Ste 204
Indianapolis, IN 462378601
(317) 528-2555
fax (317) 528-2566 - Additional location
-
5340 Holy Cross Pkwy
Mishawaka, IN 465451470
(574) 237-1328 - Mailing address
-
Po Box 781076
Detroit, MI 482781076
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- July 25, 2025
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 207VX0201X — NUCC code
- State licenses (3)
- Indiana #01067752A · Iowa #37108 · Pennsylvania #MT181806
- Medicaid
- IN #200978000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255549812. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
122
Distinct HCPCS
6
Medicare allowed
$33,602
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99205 |
New patient office or other outpatient visit, 60-74 minutes | 35 | 35 | $202 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 27 | 19 | $163 | |
58571 |
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 20 | 20 | $774 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 13 | $121 | |
38900 |
Imaging of lymph nodes during surgery | 12 | 12 | $176 | |
38570 |
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope | 11 | 11 | $225 |
In context: peer comparison
Among 8 peers in Indianapolis Gynecologic Oncology Physician, average services per provider: 31. This provider delivers 3.9× the peer median.Open Payments
Industry payments received
All-time total
$393
Transactions
18
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 3 | $71.61 | |
| AstraZeneca Pharmaceuticals Lp | 2 | $39.76 | |
| Astellas Pharma US INC | 2 | $38.94 | |
| GlaxoSmithKline, LLC. | 2 | $34.52 | |
| Janssen Biotech, INC. | 1 | $33.68 | |
| Smith+Nephew, INC. | 1 | $33.55 | |
| Daiichi Sankyo INC. | 1 | $25.88 | |
| Genentech USA, INC. | 1 | $24.82 | |
| Tactile Systems Technology INC | 1 | $20.74 | |
| Ipsen Biopharmaceuticals, INC | 1 | $20.62 | |
| Genmab U.S., INC. | 1 | $18.14 | |
| Solventum Corporation | 1 | $15.66 | |
| Sobi, INC | 1 | $15.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
29
Patients
29
Total drug cost
$103
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metronidazole | Generic | 15 | 15 | $25 |
| Neomycin Sulfate | Generic | 14 | 14 | $78 |
Hospital affiliations
Frequently asked questions
What is Dr. Hubert Fornalik's medical specialty?
Dr. Hubert Fornalik practices Gynecologic Oncology Physician in Indianapolis, IN.
Where does Dr. Hubert Fornalik practice?
Dr. Hubert Fornalik practices at 8111 S Emerson Ave Ste 204, Indianapolis, IN 462378601. Office phone: 3175282555.
What is Dr. Hubert Fornalik's NPI?
Dr. Hubert Fornalik's National Provider Identifier (NPI) is 1255549812, issued by NPPES.
Does Dr. Hubert Fornalik accept Medicare assignment?
Yes. Dr. Hubert Fornalik accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Hubert Fornalik commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99205); Established patient office or other outpatient visit (HCPCS 99215); Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS 58571). Source: CMS Medicare Physician & Other Practitioners file.