Deactivated NPI 1255308003 Deactivated / Inactive NPI Male Practitioner

Dr. Gerardo C Brual , MD

Dermatology • Apache Junction, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerardo Brual has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006

NPI Deactivation Date August 28, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gerardo Brual, MD was a registered Dermatology practicing in Apache Junction, AZ. Throughout an active medical career spanning 18 years, Dr. Brual provided care at the practice location at 288 N IRONWOOD until profile deactivation on 2024-08-28.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

288 N Ironwood
#105

Apache Junction, AZ 852203830

Telephone 4806714086

Fax 4806714105

Associated Practice Facility / Clinic

🏢 White Mountain Dermatology Llc Facility NPI 1033164538

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Apache Junction, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Apache Junction, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	184	24	$21.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	48	28	$135.00	$88.82
17000 Destruction of skin growth	37	25	$100.00	$49.85
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	36	25	$755.00	$400.41
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	33	26	$1195.00	$329.00
11102 Tangential biopsy of single skin lesion	23	18	$105.00	$95.97
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	21	12	$700.00	$382.59
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	17	$1330.00	$740.99
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	14	$1145.00	$324.66
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	18	14	$1200.00	$685.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1355.00	$750.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	824	86	$21.00	$6.37
17000 Destruction of skin growth	170	87	$100.00	$52.32
99213 Established patient office or other outpatient visit, typically 15 minutes	113	64	$87.65	$85.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	59	$125.88	$125.03
11103 Biopsy of related skin growth, each additional growth	85	42	$80.00	$51.95
11102 Tangential biopsy of single skin lesion	83	66	$105.00	$96.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$165.29
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	23	16	$755.00	$403.49
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	21	12	$700.00	$385.92
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	21	17	$1195.00	$332.52
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	17	$1330.00	$746.00
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	18	12	$1145.00	$364.01
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$330.00	$162.86
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$95.00	$71.64
17110 Destruction of up to 14 skin growths	14	11	$135.00	$111.50
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	13	13	$1200.00	$688.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$58.08	$51.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	977	120	$21.00	$5.70
17000 Destruction of skin growth	221	128	$100.00	$48.70
11103 Biopsy of related skin growth, each additional growth	166	77	$80.00	$50.33
11102 Tangential biopsy of single skin lesion	134	105	$105.00	$91.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	92	$125.00	$103.51
99213 Established patient office or other outpatient visit, typically 15 minutes	121	60	$85.00	$71.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$200.00	$156.57
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	36	24	$1195.00	$323.54
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	30	22	$755.00	$377.26
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	28	23	$1330.00	$722.13
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	28	19	$700.00	$360.53
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	26	20	$1145.00	$294.73
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	23	21	$1200.00	$660.27
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$330.00	$150.35
17110 Destruction of up to 14 skin growths	16	14	$135.00	$106.00
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$95.00	$71.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$50.00	$42.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,150	141	$21.00	$5.34
17000 Destruction of skin growth	282	152	$100.00	$47.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	130	$125.00	$103.33
11103 Biopsy of related skin growth, each additional growth	221	103	$80.00	$50.66
11102 Tangential biopsy of single skin lesion	168	135	$105.00	$85.12
99213 Established patient office or other outpatient visit, typically 15 minutes	94	57	$85.00	$70.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	76	39	$755.00	$376.51
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	67	42	$1195.00	$322.00
17110 Destruction of up to 14 skin growths	52	43	$135.00	$102.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$200.00	$156.42
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	46	33	$1330.00	$702.54
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	33	21	$700.00	$359.30
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	29	20	$1200.00	$607.23
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	21	$1145.00	$296.71
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$95.00	$72.59
17004 Destruction of precancer skin growth, 15 or more growths	21	20	$330.00	$144.70
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	12	$1355.00	$739.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$135.00	$103.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,652	163	$21.00	$4.87
17000 Destruction of skin growth	346	170	$100.00	$45.87
11101 Biopsy of each additional growth of skin and/or tissue	295	129	$70.00	$30.30
99213 Established patient office or other outpatient visit, typically 15 minutes	215	110	$85.00	$67.63
11100 Biopsy of single growth of skin and/or tissue	212	160	$125.00	$94.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	103	$125.00	$99.65
99202 New patient office or other outpatient visit, typically 20 minutes	93	93	$95.00	$69.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	57	34	$755.00	$359.98
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	52	36	$1195.00	$312.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	48	34	$1330.00	$700.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	22	$20.00	$1.79
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	29	21	$700.00	$343.59
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	22	$1145.00	$286.10
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	19	14	$1100.00	$575.97
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	18	17	$1200.00	$644.95
11900 Injection into skin growth, 1-7 growths	16	15	$75.00	$34.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$50.00	$40.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,249	136	$21.00	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	294	131	$85.00	$67.30
17000 Destruction of skin growth	280	141	$100.00	$48.17
11101 Biopsy of each additional growth of skin and/or tissue	196	90	$70.00	$30.24
11100 Biopsy of single growth of skin and/or tissue	143	111	$125.00	$92.60
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$95.00	$69.10
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	36	26	$1195.00	$322.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	34	22	$755.00	$358.98
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	30	24	$1330.00	$705.22
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	28	21	$1200.00	$620.94
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	20	$1145.00	$285.49
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	17	$700.00	$344.38

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ AZ21075

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Jocelyn Ramos , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1306084264

NURSEPRACTITIONER

Breanna Bennett , PA-C

Physician Assistant

NPI 1528782380

Physician Assistant (Certified)

Gayl Overgaard , PA-C

Physician Assistant - Medical

NPI 1962435743

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated August 28, 2024

Record deactivated on August 28, 2024

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 288 N IRONWOOD, #105, APACHE JUNCTION, AZ 852203830 (Tel: 4806714086)

📍

Updated Business Mailing Address July 08, 2007

Registered at 288 N IRONWOOD, SUITE 105, APACHE JUNCTION, AZ 852203830 (Tel: 4806714086)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GERARDO BRUAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #AZ21075 in AZ)

🟢

Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1255308003

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2006

Last Update: July 08, 2007

Deactivation Date: August 28, 2024

Update or Correct Profile

Mailing Address

288 N Ironwood, Suite 105

Apache Junction, AZ 852203830

Phone: 4806714086

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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