ALEXANDER J BRUCKER (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1073624706

ALEXANDER J BRUCKER (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD020304E (PA). The NPI Number for ALEXANDER J BRUCKER (MD) is 1073624706

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER J BRUCKER (MD)
NPI
1073624706
Phone
(215) 662-8100
Address
3801 FILBERT ST
Enumeration Date
31 August 2006
Last Update Date
11 April 2018

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
2156628100
Graduation Year
1972 (54 years ago)
PAC ID
9830224815
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20100316000483
Address ID
PA191042640PH51XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

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Provider Addresses for ALEXANDER J BRUCKER (MD)

  • 3801, Filbert Street, Powelton Village, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191042640

    Phone: (215) 662-8100

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Astellas Pharma Global Development ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100316000483IOphthalmologyPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2,0341,060$0
92134Imaging of retina1,314531$0
67028Injection of drug into eye737207$0
92250Photography of the retina8072$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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Provider's Procedures

ALEXANDER J BRUCKER (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYPA92083Measurement of field of vision during daylight conditions3229
OPHTHALMOLOGYPA92134Diagnostic imaging of retina490168

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is ALEXANDER J BRUCKER (MD) listed with a National Provider Identifier?
Yes — ALEXANDER J BRUCKER (MD) has NPI 1073624706 on file in the registry.
Is there an active status for ALEXANDER J BRUCKER (MD)?
For scheduling context, ALEXANDER J BRUCKER (MD) is shown as active in the registry.
What clinical focus is listed for ALEXANDER J BRUCKER (MD)?
At a glance, ALEXANDER J BRUCKER (MD) is tied to Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Is ALEXANDER J BRUCKER (MD) located near Philadelphia?
ALEXANDER J BRUCKER (MD) currently maps to Philadelphia, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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