DR. LARA A BRUNEAU (M.D.) – Internal Medicine Physician, NPI 1669410445
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
626 PEDIATRIC MEDICINE in NJ
Provider Addresses for DR. LARA A BRUNEAU (M.D.)
110 Marter Ave
ST 408
Moorestown, NJ 080573124
Phone: (856) 638-1990
Type: Location
200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States
CAMDEN, NJ 081031088
Phone: (856) 356-4924
Type: Mailing
2963, Marne Highway, Masonville, Mount Laurel Township, Burlington County, New Jersey, 08054, United States
MOUNT LAUREL, NJ 080542036
Phone: (856) 638-1990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-01-26
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 |
|---|---|---|---|---|
| I20040126000288 | I | Pediatric Medicine | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 518 | 248 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 209 | 209 | $0 |
| G0008 | Administration of influenza virus vaccine | 125 | 124 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 114 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 61 | $0 |
Insurance plans in this area (ZIP 08057)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine, Pediatric Medicine | MA | |
| Internal Medicine | PA | |
| Family Practice | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Internal Medicine | PA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
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