DR. COLLIN GUTHRIE FULLER (M.D.) – Dermatology Physician, NPI 1891157129
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
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Provider Addresses for DR. COLLIN GUTHRIE FULLER (M.D.)
740, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19106, United States
PHILADELPHIA, PA 191074409
Phone: (215) 955-6680
Type: Location
North Shore University Hospital, 300, Community Drive, Lake Success, North Hempstead, Nassau County, New York, 11030, United States
MANHASSET, NY 110303816
Phone: (515) 562-0100
Type: Mailing
2310 E ALLEGHENY AVE
PHILADELPHIA, PA 191344401
Phone: (215) 427-1111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $674.
Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($254).
Total Amount
$674
General + Research + Ownership
Payments
33
Total payment records
General Amount
$674
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210318001972 | I | Dermatology | PA | TBD |
| I20220503000568 | I | Dermatology | DE | TBD |
| I20231028000231 | I | Dermatology | MD | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 7,892 | 4,230 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 385 | 355 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 218 | 196 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 186 | 93 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 151 | 137 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | MI | |
| Nurse Practitioner | PA | |
| - | PA | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA |
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