TAL BUNTINX (MD) – Dermatology Physician, NPI 1013446590

TAL BUNTINX (MD) is a healthcare provider. based in San diego, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD17705 (RI). The NPI Number for TAL BUNTINX (MD) is 1013446590

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TAL BUNTINX (MD)
NPI
1013446590
Phone
(858) 657-8322
Address
8899 UNIVERSITY CENTER LN
Enumeration Date
8 June 2017
Last Update Date
28 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4012391800
Graduation Year
2017 (9 years ago)
PAC ID
8820367303
Group Practice PAC ID
1759550643
Professional Enrollment ID
I20210824003175
Address ID
RI028425237MI102XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for TAL BUNTINX (MD)

  • 8899, University Center Lane, University City, San Diego, San Diego County, California, 92122, United States

    SAN DIEGO, CA 921221013

    Phone: (858) 657-8322

    Type: Mailing

  • 102 VALLEY RD

    MIDDLETOWN, RI 028425237

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,319.

Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($471).

Total Amount

$1,319

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-24

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
I20210824003175IDermatologyRITBD

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
17003Destruction of precancer skin growth, 2-14 growths1,034200$0
99213Established patient office or other outpatient visit, 20-29 minutes570436$0
17000Destruction of precancer skin growth, 1 growth316254$0
11102Biopsy of related skin growth, first growth177159$0
17110Destruction of skin growth, 1-14 growths141131$0
View full utilization report →

Insurance plans in this area (ZIP 92122)

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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: 1759550643View full group profile
NameSpecialtyState
Nurse PractitionerRI
Physician AssistantRI
D E R M A T O L O G YRI
Physician AssistantRI
Dermatology, Micrographic Dermatologic Surgery (Mds)RI
Physician AssistantRI
D E R M A T O L O G YRI
Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology, Micrographic Dermatologic Surgery (Mds)NV
Physician AssistantRI
Physician AssistantRI

Reviews

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Frequently asked questions

What is the standard ID for TAL BUNTINX (MD) in the U.S.?
In the U.S., TAL BUNTINX (MD) is identified by NPI 1013446590.
Does the public listing show TAL BUNTINX (MD) as active?
TAL BUNTINX (MD)'s NPI record reflects an active status in NPPES.
What services align with TAL BUNTINX (MD)'s listing?
TAL BUNTINX (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to TAL BUNTINX (MD)?
TAL BUNTINX (MD) shows a connection to San Diego, California in registry-derived data.
Why is information missing for TAL BUNTINX (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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