DR. ERIC JAY LULLOVE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1104811744

DR. ERIC JAY LULLOVE (D.P.M.) is a healthcare provider. based in Coconut creek, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO 3133 (FL). The NPI Number for DR. ERIC JAY LULLOVE (D.P.M.) is 1104811744

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC JAY LULLOVE (D.P.M.)
NPI
1104811744
Phone
(561) 989-9780
Address
4855 W HILLSBORO BLVD
Enumeration Date
20 September 2005
Last Update Date
30 July 2017

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5619899780
Graduation Year
2002 (24 years ago)
PAC ID
0446140701
Professional Enrollment ID
I20040617001739
Address ID
FL330734356CO4855XBLVD409
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

1,444 PODIATRY in FL

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Provider Addresses for DR. ERIC JAY LULLOVE (D.P.M.)

  • 4855, West Hillsboro Boulevard, West Dixie Bend, Coconut Creek, Broward County, Florida, 33073, United States

    STE B6

    COCONUT CREEK, FL 330734356

    Phone: (561) 989-9780

    Fax: (561) 989-9781

    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 50 Open Payments records for all available years, with a total value of $49,870.

Total Amount is formed as General ($49,870) + Research ($0) + Ownership ($0) = $49,870.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Kerecis Limited ($25,776).

Total Amount

$49,870

General + Research + Ownership

Payments

50

Total payment records

General Amount

$49,870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2004-06-17

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
I20040617001739IPodiatryFLTBD

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
0598TFluorescence wound imaging for bacteria, first anatomic site24722$0
99214Established patient office or other outpatient visit, 30-39 minutes22749$0
11721Removal of fingernails or toenails, 6 or more nails4720$0
11042Removal of skin and tissue, 20.0 sq cm or less4515$0
99213Established patient office or other outpatient visit, 20-29 minutes4116$0
View full utilization report →

Insurance plans in this area (ZIP 33073)

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Provider's Procedures

DR. ERIC JAY LULLOVE (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less4826
PODIATRYFL73630X-ray of foot, minimum of 3 views4933

Reviews

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Frequently asked questions

What NPI should I save for DR. ERIC JAY LULLOVE (D.P.M.)?
Save NPI 1104811744 if you need a stable reference for DR. ERIC JAY LULLOVE (D.P.M.).
Is DR. ERIC JAY LULLOVE (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ERIC JAY LULLOVE (D.P.M.)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. ERIC JAY LULLOVE (D.P.M.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ERIC JAY LULLOVE (D.P.M.)?
We surface Coconut Creek, Florida for DR. ERIC JAY LULLOVE (D.P.M.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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