DR. JUSTIN PETER BANDINO (MD) – Dermatology Physician, NPI 1780828863
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. JUSTIN PETER BANDINO (MD)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 782365638
Phone: (210) 580-4475
Type: Mailing
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 622255250
Phone: (618) 256-7571
Fax: (210) 899-1743
Type: Mailing
Lackland Elementary School, Wilford Hall Loop, Bexar County, Texas, 78227, United States
LACKLAND AFB, TX 782365638
Phone: (210) 580-4475
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $976.
Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($397).
Total Amount
$976
General + Research + Ownership
Payments
16
Total payment records
General Amount
$976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $397 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $151 |
| ABBVIE INC. | $143 |
| Amgen Inc. | $123 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $104 |
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: 2024-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170811000256 | I | Dermatology | TX | TBD |
| I20241018001091 | I | Dermatology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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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 | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | AZ |
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