BERNADETTE T SKRUCK (PA) – Physician Assistant, NPI 1063738722
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for BERNADETTE T SKRUCK (PA)
2405 PERSIMMON RD
AUGUSTA, GA 309043354
Phone: (312) 927-6634
Type: Mailing
1348 WALTON WAY STE 5700
AUGUSTA, GA 309015110
Phone: (706) 722-8242
Fax: (706) 722-8351
Type: Location
640 S STATE ST
DOVER, DE 199013530
Phone: (302) 744-7980
Fax: (302) 744-7989
Type: Mailing
759 CHESTNUT ST
SPRINGFIELD, MA 011071619
Phone: (413) 794-5550
Fax: (413) 794-4212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,347.
Total Amount is formed as General ($1,347) + Research ($0) + Ownership ($0) = $1,347.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($545).
Total Amount
$1,347
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $545 |
| ATRICURE, INC. | $448 |
| Edwards Lifesciences Corporation | $115 |
| Getinge USA Sales, LLC | $72 |
| Ethicon US, LLC | $38 |
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: 2012-05-21
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 |
|---|---|---|---|---|
| I20120521000583 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 14 | 14 | $0 |
| 33508 | Harvest of vein using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30904)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | OH | |
| Nurse Practitioner | GA | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA |
Reviews
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