ERIN NICOLE FULLER (MD) – Dermatology Physician, NPI 1730475633
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,141 DERMATOLOGY in CA
Provider Addresses for ERIN NICOLE FULLER (MD)
2545 W HAMMER LN
STOCKTON, CA 952092839
Phone: (209) 957-3821
Type: Location
1380 LUSITANA ST
STE 412
HONOLULU, HI 968132440
Phone: (808) 599-3780
Fax: (808) 538-1672
Type: Mailing
377 KEAHOLE ST
HONOLULU, HI 968253405
Phone: (808) 599-3780
Type: Location
2545 W Hammer Ln
Stockton, CA 952092839
Phone: (209) 957-3821
Type: Location
1380 Lusitana St Ste 412
Honolulu, HI 968132440
Phone: (808) 599-3780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,311.
Total Amount is formed as General ($2,311) + Research ($0) + Ownership ($0) = $2,311.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($495).
Total Amount
$2,311
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $495 |
| Regeneron Healthcare Solutions, Inc. | $285 |
| LEO Pharma Inc. | $223 |
| Lilly USA, LLC | $198 |
| E.R. Squibb & Sons, L.L.C. | $165 |
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: 2020-12-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20201230001456 | I | Dermatology | HI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 269 | 183 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 232 | 47 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 139 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 132 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 75 | $0 |
Insurance plans in this area (ZIP 95209)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CA | 11101 | Biopsy of each additional growth of skin and/or tissue | 91 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | HI | |
| D E R M A T O L O G Y | HI | |
| - | HI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.