BRUCE W. FULLER (M.D.) – Dermatology Physician, NPI 1588861397
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
Provider Addresses for BRUCE W. FULLER (M.D.)
640 W MOANA LN
RENO, NV 895094903
Phone: (775) 324-0699
Fax: (775) 323-6814
Type: Mailing
3950 Gs Richards Blvd
Carson City, NV 897038457
Phone: (775) 882-8777
Fax: (775) 888-8062
Type: Location
4, Pasadena Avenue South, Saint Petersburg, Pinellas County, Florida, 33707, United States
SOUTH PASADENA, FL 337074564
Phone: (727) 347-7524
Fax: (727) 384-6336
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,541.
Total Amount is formed as General ($1,541) + Research ($0) + Ownership ($0) = $1,541.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($383).
Total Amount
$1,541
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,541
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $383 |
| Regeneron Healthcare Solutions, Inc. | $226 |
| E.R. Squibb & Sons, L.L.C. | $191 |
| GENZYME CORPORATION | $116 |
| Novartis Pharmaceuticals Corporation | $112 |
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: 2019-11-08
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 |
|---|---|---|---|---|
| I20191108001950 | I | Dermatology | NV | 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 | 5,794 | 858 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,023 | 1,407 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,358 | 1,018 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 586 | 503 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 294 | 214 | $0 |
Insurance plans in this area (ZIP 89509)
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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 | 670 | 276 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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