THEODOR MAJOR RUDOLPH (M.D.) – Dermatology Physician, NPI 1700861382
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for THEODOR MAJOR RUDOLPH (M.D.)
Harbor Community Bank, 3900, 20th Street, Vero Beach, Indian River County, Florida, 32960, United States
VERO BEACH, FL 329602413
Phone: (772) 299-4000
Fax: (772) 299-4001
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 29 Open Payments records for all available years, with a total value of $2,402.
Total Amount is formed as General ($2,402) + Research ($0) + Ownership ($0) = $2,402.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Kerecis Limited ($1,384).
Total Amount
$2,402
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $1,384 |
| Merz North America, Inc. | $339 |
| Janssen Biotech, Inc. | $336 |
| Regeneron Healthcare Solutions, Inc. | $99 |
| GENZYME CORPORATION | $79 |
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: 2004-04-06
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 |
|---|---|---|---|---|
| I20040406001781 | 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 | 15,917 | 1,756 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3,554 | 2,432 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 3,536 | 2,040 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 1,210 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 819 | 565 | $0 |
Insurance plans in this area (ZIP 32960)
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Provider's Procedures
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