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Deactivated NPI 1164423083 Deactivated / Inactive NPI Male Practitioner

Dr. Fredric W Pullen , MD

Otolaryngology • Miami, FL

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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. Fredric Pullen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005
NPI Deactivation Date November 27, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Fredric Pullen, MD was a registered Otolaryngology practicing in Miami, FL. Throughout an active medical career spanning 20 years, Dr. Pullen provided care at the practice location at 1120 NW 14TH STREET until profile deactivation on 2025-11-27.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1120 Nw 14th Street

Miami, FL 331364037

Telephone 3052433564
Fax 3052432009
Associated Practice Facility / Clinic
🏢 University Of Miami Facility NPI 1689623100

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.7 Yrs
State Avg: 28.8 Yrs
Regional Practice Density
80 Specialists

Practicing in Miami, FL (715 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.6% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
60 38 $193.00 $75.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 21 $299.00 $111.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $507.00 $172.56
69210 Removal of impacted ear wax
26 24 $132.00 $50.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $304.00 $113.31

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License FL ME13398

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rebecca Gerety , APRN (AGACNP-BC)

Nurse Practitioner - Adult Health

NPI 1033783220

APRN(AGACNPBC)

Eleanor Kraichely

Speech-Language Pathologist

NPI 1043157183
NPI 1053353136

MDPHD

Christina Kang , CCC-SLP

Speech-Language Pathologist

NPI 1053661264

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Abdullah Albader , MD

Student in an Organized Health Care Education/Training Program

NPI 1073968996

Doctor of Medicine (M.D.)

NPI 1093444556

Doctor of Audiology

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

📍
Updated Practice Location July 20, 2019

Registered at 13100 DOUBLETREE CIR, WELLINGTON, FL 334144037 (Tel: 7862527290)

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 1120 NW 14TH STREET, MIAMI, FL 331364037 (Tel: 3052433564)

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Updated Business Mailing Address September 12, 2016

Registered at 13100 DOUBLETREE CIR, WELLINGTON, FL 334144037 (Tel: 5617847500)

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Provider Name / Credentials Updated September 12, 2016

Recorded as FREDRIC PULLEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Otolaryngology (License #ME13398 in FL)

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Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164423083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: September 12, 2016
Deactivation Date: November 27, 2025

Mailing Address

13100 Doubletree Cir

Wellington, FL 334144037

Phone: 5617847500

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.