DEBRA L PRUZAN (M.D.) – Specialist, NPI 1679575112

DEBRA L PRUZAN (M.D.) is a healthcare provider. based in Stamford, Connecticut. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 031601 (CT). The NPI Number for DEBRA L PRUZAN (M.D.) is 1679575112

Main info

Female
40 Years Of Experience
Name
DEBRA L PRUZAN (M.D.)
NPI
1679575112
Phone
(203) 325-3576
Address
1290 SUMMER ST
Enumeration Date
15 August 2005
Last Update Date
18 October 2010

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
2033253576
Graduation Year
1986 (40 years ago)
PAC ID
1658265624
Group Practice PAC ID
5294629267
Professional Enrollment ID
I20101014000149
Address ID
CT069055325ST1290XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

270 DERMATOLOGY in CT

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Provider Addresses for DEBRA L PRUZAN (M.D.)

  • 1290, Summer Street, Northfield, Stamford, Fairfield County, Connecticut, 06905, United States

    SUITE 3600

    STAMFORD, CT 069055360

    Phone: (203) 325-3576

    Fax: (203) 325-4280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $2,140.

Total Amount is formed as General ($2,140) + Research ($0) + Ownership ($0) = $2,140.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($432).

Total Amount

$2,140

General + Research + Ownership

Payments

89

Total payment records

General Amount

$2,140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-10-14

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
I20101014000149IDermatologyCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes244194$0
17000Destruction of precancer skin growth, 1 growth8366$0
17003Destruction of precancer skin growth, 2-14 growths6633$0
99212Established patient office or other outpatient visit, 10-19 minutes6656$0
11102Biopsy of related skin growth, first growth6259$0
View full utilization report →

Insurance plans in this area (ZIP 06905)

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Provider's Procedures

DEBRA L PRUZAN (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCT17003Destruction of 2-14 skin growths30396

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: 5294629267View full group profile
NameSpecialtyState
D E R M A T O L O G YCT
D E R M A T O L O G YNY
D E R M A T O L O G YCT

Reviews

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Frequently asked questions

What NPI should I save for DEBRA L PRUZAN (M.D.)?
Save NPI 1679575112 if you need a stable reference for DEBRA L PRUZAN (M.D.).
Does this profile mean DEBRA L PRUZAN (M.D.) is currently active?
Yes — DEBRA L PRUZAN (M.D.) appears active in the national provider directory.
Can you summarize DEBRA L PRUZAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DEBRA L PRUZAN (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does DEBRA L PRUZAN (M.D.) practice in Connecticut?
You will see Stamford, Connecticut on file for DEBRA L PRUZAN (M.D.) alongside any extra practice locations.
Is DEBRA L PRUZAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1679575112. Always confirm identity and privileges with the practice and licensing boards.

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