ROMAN BRONFENBRENER (MD) – Dermatology Physician, NPI 1134488638
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in PA
Provider Addresses for ROMAN BRONFENBRENER (MD)
1122 STREET RD STE 204
SOUTHAMPTON, PA 189664218
Phone: (215) 999-7546
Type: Mailing
903 FLORAL VALE BLVD
YARDLEY, PA 190675515
Phone: (215) 579-6155
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 855 Open Payments records for all available years, with a total value of $22,568.
Total Amount is formed as General ($22,568) + Research ($0) + Ownership ($0) = $22,568.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($6,884).
Total Amount
$22,568
General + Research + Ownership
Payments
855
Total payment records
General Amount
$22,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $6,884 |
| Janssen Biotech, Inc. | $2,458 |
| ABBVIE INC. | $2,218 |
| Dermavant Sciences, Inc. | $774 |
| Arcutis Biotherapeutics, Inc. | $627 |
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: 2016-05-17
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 |
|---|---|---|---|---|
| I20160517002499 | I | Micrographic Dermatologic Surgery (Mds) | PA | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 38,301 | 164 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 8,558 | 922 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,825 | 1,063 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,103 | 689 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,089 | 716 | $0 |
Insurance plans in this area (ZIP 18966)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Pulmonary Disease | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Nurse Practitioner | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Nurse Practitioner | PA |
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