STELLA M. BULENGO (M.D.) – Dermatology Physician, NPI 1194717447
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
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Provider Addresses for STELLA M. BULENGO (M.D.)
Pat Booker Road, Live Oak, Bexar County, Texas, 78148, United States
LIVE OAK, TX 782332601
Phone: (210) 657-9338
Fax: (210) 657-9478
Type: Location
3320 OAKWELL CT
SAN ANTONIO, TX 782183128
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
18018 OVERLOOK LOOP STE 105
SAN ANTONIO, TX 782591883
Phone:
Type: Mailing
1601 E PFLUGERVILLE PKWY STE 1102
PFLUGERVILLE, TX 786606148
Phone: (512) 252-3700
Fax: (512) 266-0077
Type: Mailing
12319 N MOPAC EXPY STE 100
AUSTIN, TX 787582486
Phone: (512) 837-3376
Fax: (512) 837-3377
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $361.
Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($125).
Total Amount
$361
General + Research + Ownership
Payments
7
Total payment records
General Amount
$361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
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: 2025-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190809000970 | I | Dermatology | TX | TBD |
| I20220316001097 | I | Dermatology | WI | TBD |
| I20230307002029 | I | Dermatology | CA | TBD |
| I20250701000972 | I | Dermatology | WA | 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 | 941 | 200 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 499 | 411 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 305 | 266 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 184 | 175 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 149 | 149 | $0 |
Insurance plans in this area (ZIP 78233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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