MICHELLE K BRUNER (DO) – Dermatology Physician, NPI 1184814188
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for MICHELLE K BRUNER (DO)
2919 W Swann Ave Ste 205
Tampa, FL 336094050
Phone: (813) 514-8985
Fax: (813) 514-8983
Type: Location
4700 N Habana Ave Ste 303
Tampa, FL 336147118
Phone: (813) 341-3285
Fax: (813) 341-3284
Type: Location
6331 Memorial Hwy
Tampa, FL 336154537
Phone: (813) 682-1031
Fax: (813) 682-1032
Type: Location
5210 Webb Rd
Tampa, FL 336154518
Phone: (813) 882-9986
Fax: (813) 882-9849
Type: Location
East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States
WARREN, MI 480883671
Phone: (586) 759-5525
Fax: (586) 619-9028
Type: Location
1306 CONCOURSE DR STE 201
LINTHICUM HEIGHTS, MD 210901033
Phone:
Type: Mailing
4238 W KENNEDY BLVD
TAMPA, FL 336092231
Phone: (813) 879-6040
Fax: (813) 879-6043
Type: Location
PO BOX 23329
NEW YORK, NY 100873329
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,352.
Total Amount is formed as General ($1,352) + Research ($0) + Ownership ($0) = $1,352.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($224).
Total Amount
$1,352
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,352
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190823002299 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,557 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 479 | 285 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 410 | 267 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 286 | 227 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 165 | 130 | $0 |
Insurance plans in this area (ZIP 33609)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MI | 11101 | Biopsy of each additional growth of skin and/or tissue | 113 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| Physician Assistant | MD | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL |
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