ERIC PUCCINI PAULSON (M.D.) – Otolaryngology Physician, NPI 1609848076
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
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Provider Addresses for ERIC PUCCINI PAULSON (M.D.)
Sierra Avenue, Fontana, San Bernardino County, California, 92377, United States
FONTANA, CA 923356720
Phone: (909) 427-7087
Fax: (909) 427-7601
Type: Location
Monaco Place, Alta Loma, Rancho Cucamonga, San Bernardino County, California, 91737, United States
ALTA LOMA, CA 917372322
Phone: (909) 758-0805
Fax: (909) 427-7601
Type: Mailing
41 MONTVALE AVE STE 200
STONEHAM, MA 021802445
Phone: (781) 279-0971
Fax: (617) 573-5646
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-06
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 |
|---|---|---|---|---|
| I20081220000132 | I | Otolaryngology | CA | TBD |
| I20250306001255 | I | Otolaryngology | MA | 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 92335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| O P T O M E T R Y | MA | |
| O P H T H A L M O L O G Y | MA | |
| - | OH | |
| N E U R O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| N E U R O L O G Y | MA | |
| - | MA | |
| Diagnostic Radiology | MA |
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