DR. CHRISTOPHER KENTON FULLER (M.D.) – Dermatology Physician, NPI 1962466961
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. CHRISTOPHER KENTON FULLER (M.D.)
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465
Fax: (512) 233-2711
Type: Mailing
1615 HOSPITAL PKWY STE 306
BEDFORD, TX 760225936
Phone: (817) 684-5100
Fax: (817) 684-5101
Type: Location
1615, Hospital Parkway, Bedford, Tarrant County, Texas, 76022, United States
SUITE 306
BEDFORD, TX 760225934
Phone: (817) 684-5100
Fax: (817) 684-5101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 267 Open Payments records for all available years, with a total value of $9,121.
Total Amount is formed as General ($9,121) + Research ($0) + Ownership ($0) = $9,121.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($4,975).
Total Amount
$9,121
General + Research + Ownership
Payments
267
Total payment records
General Amount
$9,121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $4,975 |
| GENZYME CORPORATION | $568 |
| ABBVIE INC. | $328 |
| Amgen Inc. | $273 |
| PFIZER INC. | $230 |
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: 2011-09-10
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 |
|---|---|---|---|---|
| I20110910002907 | I | Dermatology | TX | 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 | 2,985 | 507 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 976 | 654 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 718 | 545 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 620 | 485 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 356 | 309 | $0 |
Insurance plans in this area (ZIP 78730)
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Provider's Procedures
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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