BRUCE HENRY PALEY (D.O.) – Dermatology Physician, NPI 1619993375
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for BRUCE HENRY PALEY (D.O.)
205 Zeagler Dr Ste 202
Palatka, FL 321773860
Phone: (386) 325-3115
Type: Location
1542 Kingsley Ave Ste 146
Orange Park, FL 320734547
Phone: (904) 824-8088
Type: Location
Old Moultrie Road, St. Augustine South, Saint Johns County, Florida, 32084, United States
SUITE B
ST AUGUSTINE, FL 320844168
Phone: (904) 824-8088
Fax: (904) 826-4105
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $777.
Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: ABBVIE INC. ($214).
Total Amount
$777
General + Research + Ownership
Payments
8
Total payment records
General Amount
$777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $214 |
| PFIZER INC. | $125 |
| Amgen Inc. | $121 |
| IDORSIA PHARMACEUTICALS US INC | $101 |
| Lilly USA, LLC | $97 |
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: 2004-09-02
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 |
|---|---|---|---|---|
| I20040902001112 | 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 | 3,803 | 494 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,097 | 591 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 912 | 542 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 163 | 145 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 137 | 137 | $0 |
Insurance plans in this area (ZIP 32177)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 11101 | Biopsy of each additional growth of skin and/or tissue | 268 | 189 |
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