Active NPI 1588861397 Individual Practitioner Male Practitioner

Dr. Bruce W. Fuller , MD

Dermatology • Reno, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Fuller, MD is a certified Dermatology practicing in Reno, NV. With approximately 23 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 2003, Dr. Fuller delivers high-quality medical care to the local community at 640 W MOANA LN.

Dr. Fuller is affiliated with Mountain West Derm - Blackhart Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 W Moana Ln

Reno, NV 895094903

Telephone 7753240699

Fax 7753236814

Associated Practice Facility / Clinic

🏢 Mountain West Derm - Blackhart Pllc Facility NPI 1740633015

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Reno, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +1.1 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

27 Specialists

Practicing in Reno, NV (93 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (23 Years) 23 Yrs

Reno Specialty Average (21.9 Years) 21.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,695	804	$14.82	$6.51
99213 Established patient office or other outpatient visit, typically 15 minutes	2,005	1,347	$187.84	$88.78
17000 Destruction of skin growth	1,289	929	$159.14	$55.62
11102 Tangential biopsy of single skin lesion	639	511	$214.30	$95.66
17004 Destruction of precancer skin growth, 15 or more growths	344	244	$350.57	$164.12
11103 Biopsy of related skin growth, each additional growth	333	166	$112.09	$49.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	142	$115.22	$55.43
17110 Destruction of up to 14 skin growths	134	113	$235.58	$110.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$231.74	$107.86
69100 Biopsy of ear	75	68	$214.02	$67.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	61	49	$370.42	$159.48
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	34	$307.18	$137.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$266.50	$125.29
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$157.18	$70.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,794	858	$14.82	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	2,023	1,407	$187.84	$90.17
17000 Destruction of skin growth	1,358	1,018	$159.14	$58.54
11102 Tangential biopsy of single skin lesion	586	503	$214.30	$99.28
17004 Destruction of precancer skin growth, 15 or more growths	294	214	$350.57	$170.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	230	210	$115.22	$56.32
11103 Biopsy of related skin growth, each additional growth	227	129	$112.09	$50.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	186	186	$231.74	$112.31
17110 Destruction of up to 14 skin growths	172	137	$235.58	$113.92
69100 Biopsy of ear	51	46	$214.02	$73.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	38	$370.42	$172.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	34	31	$307.18	$134.30
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$157.18	$72.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$266.50	$128.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,916	725	$14.82	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	1,852	1,250	$187.93	$92.83
17000 Destruction of skin growth	1,262	888	$159.14	$56.61
11102 Tangential biopsy of single skin lesion	716	563	$214.30	$101.07
11103 Biopsy of related skin growth, each additional growth	374	189	$112.09	$52.93
17004 Destruction of precancer skin growth, 15 or more growths	251	192	$350.57	$174.23
17110 Destruction of up to 14 skin growths	215	172	$235.58	$115.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	181	$115.22	$57.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	194	194	$231.74	$115.39
69100 Biopsy of ear	70	60	$214.02	$69.16
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	45	$370.42	$168.72
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	40	37	$307.18	$133.64
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$157.18	$74.14
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	25	$345.70	$154.18
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	17	$394.03	$185.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$266.50	$131.27
40490 Biopsy of lip	15	15	$275.56	$123.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,115	740	$14.82	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	1,779	1,183	$185.17	$93.43
17000 Destruction of skin growth	1,266	889	$159.14	$54.74
11102 Tangential biopsy of single skin lesion	658	523	$213.75	$100.26
17110 Destruction of up to 14 skin growths	349	255	$235.58	$115.94
11103 Biopsy of related skin growth, each additional growth	313	167	$112.09	$54.12
17004 Destruction of precancer skin growth, 15 or more growths	240	181	$350.57	$171.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	193	$113.61	$57.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$231.49	$115.55
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$157.18	$74.78
69100 Biopsy of ear	50	45	$214.02	$70.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	42	$370.42	$171.69
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	43	38	$306.93	$142.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	16	$261.76	$133.25
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	22	$345.70	$149.60
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$394.03	$187.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,774	685	$14.81	$6.17
17000 Destruction of skin growth	1,255	851	$159.02	$54.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,031	768	$225.30	$111.48
11102 Tangential biopsy of single skin lesion	607	495	$207.73	$98.80
99213 Established patient office or other outpatient visit, typically 15 minutes	605	459	$153.21	$76.92
11103 Biopsy of related skin growth, each additional growth	311	172	$111.91	$55.20
17110 Destruction of up to 14 skin growths	258	205	$235.51	$113.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	249	200	$91.73	$46.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	186	186	$226.64	$109.98
17004 Destruction of precancer skin growth, 15 or more growths	179	143	$350.31	$162.41
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$157.10	$78.08
69100 Biopsy of ear	53	46	$214.02	$74.27
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	48	47	$303.58	$135.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	43	$370.12	$163.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	40	$643.81	$309.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$526.53	$128.25
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	24	$394.03	$179.68
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	26	25	$345.70	$146.39
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	22	$376.73	$172.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$432.55	$197.59
99201 New patient office or other outpatient visit, typically 10 minutes	21	21	$92.50	$47.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,641	246	$6.39	$5.70
99213 Established patient office or other outpatient visit, typically 15 minutes	587	397	$77.13	$74.38
17000 Destruction of skin growth	475	304	$72.17	$48.98
11102 Tangential biopsy of single skin lesion	341	257	$110.57	$90.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	270	177	$47.32	$45.00
11103 Biopsy of related skin growth, each additional growth	217	99	$58.42	$53.29
17110 Destruction of up to 14 skin growths	190	126	$119.48	$105.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$138.99	$109.38
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$95.93	$75.71
17004 Destruction of precancer skin growth, 15 or more growths	33	23	$176.13	$153.25
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	33	30	$150.22	$119.10
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	26	$340.26	$296.51
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$184.93	$151.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$207.02	$110.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$263.17	$136.92
69100 Biopsy of ear	21	18	$125.18	$87.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	13	$181.50	$143.10
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$52.90	$45.93
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$192.70	$147.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,858	266	$5.34	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	725	392	$72.95	$71.89
17000 Destruction of skin growth	559	331	$66.40	$49.79
11100 Biopsy of single growth of skin and/or tissue	385	273	$105.50	$95.04
11101 Biopsy of each additional growth of skin and/or tissue	282	110	$33.26	$32.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	273	164	$43.75	$43.09
17110 Destruction of up to 14 skin growths	225	132	$111.26	$104.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	201	201	$108.65	$107.08
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$74.95	$73.96
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	71	55	$176.65	$149.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	65	$108.14	$106.48
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	56	40	$145.19	$112.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	43	29	$180.26	$142.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	36	$303.85	$287.62
69100 Biopsy of ear	30	23	$101.03	$58.24
17004 Destruction of precancer skin growth, 15 or more growths	30	25	$145.34	$143.19
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$44.56	$43.99
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	19	18	$165.07	$145.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$250.71	$137.43
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	15	$120.23	$108.12
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$287.90	$142.32
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$274.46	$146.72
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$206.11	$202.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$481.41	$473.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,765	314	$5.76	$5.61
17000 Destruction of skin growth	531	399	$67.63	$48.06
99213 Established patient office or other outpatient visit, typically 15 minutes	502	393	$73.46	$72.38
11100 Biopsy of single growth of skin and/or tissue	395	298	$104.97	$93.60
11101 Biopsy of each additional growth of skin and/or tissue	316	126	$33.93	$32.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	219	166	$43.76	$42.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$111.35	$107.09
99202 New patient office or other outpatient visit, typically 20 minutes	140	140	$77.43	$73.88
17110 Destruction of up to 14 skin growths	120	87	$112.18	$102.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	65	55	$177.44	$147.90
69100 Biopsy of ear	48	36	$103.52	$61.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$108.34	$106.55
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	42	36	$180.08	$151.70
17004 Destruction of precancer skin growth, 15 or more growths	40	36	$152.65	$148.67
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	36	$310.79	$284.59
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	30	$144.52	$104.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	23	$254.41	$132.53
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	16	$168.83	$133.64
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	16	$188.77	$159.07
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$208.20	$203.27
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$46.55	$43.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$486.42	$473.77

Medical Specialties & State Licenses

CMS Verified: 2026-01-21

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NV 19252

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.

Hospital & Practice Group Affiliations

Mountain West Derm - Blackhart Pllc

607 S Maine St, Fallon, NV 894063801

Phone: 7753240699

Mountain West Derm - Blackhart Pllc

3640 Warren Way, Reno, NV 895095240

Phone: 7753240699

Mountain West Derm - Blackhart Pllc

3950 Gs Richards Blvd, Carson City, NV 897038457

Phone: 7758828777

Secondary Practice Locations

3950 Gs Richards Blvd

Carson City, NV 897038457

Phone: 7758828777

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Irene Mannering , MD

Dermatology

NPI 1023300977

Doctor of Medicine (M.D.)

Amber Damonte , PA-C

Physician Assistant

NPI 1063036978

Physician Assistant (Certified)

Dr. Kimberly Kolar , MD

Dermatology

NPI 1144223801

Doctor of Medicine (M.D.)

Dr. Michael Heaphy , MD

Dermatology - Dermatopathology

NPI 1174620496

Doctor of Medicine (M.D.)

Dr. Shaundra Eichstadt , MD

Dermatology

NPI 1174849194

Doctor of Medicine (M.D.)

Dr. Michael Zumwalt , MD

Dermatology

NPI 1275947764

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location January 21, 2026

Registered at 640 W MOANA LN, RENO, NV 895094903 (Tel: 7753240699)

📍

Updated Business Mailing Address January 21, 2026

Registered at 640 W MOANA LN, RENO, NV 895094903 (Tel: 7753240699)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2026

Dermatology (License #19252 in NV)

📍

Updated Practice Location January 31, 2019

Registered at 1609 PASADENA AVE S STE 4C, SOUTH PASADENA, FL 337074564 (Tel: 7273477524)

📍

Updated Business Mailing Address January 31, 2019

Registered at 1609 PASADENA AVE S STE 4C, SOUTH PASADENA, FL 337074564 (Tel: 7273477524)

✅

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2017

Registered at 1609 PASADENA AVE S, SUITE 2K, SOUTH PASADENA, FL 337074565 (Tel: 7273477524)

📍

Updated Business Mailing Address March 10, 2017

Registered at 1609 PASADENA AVE S, SUITE 2K, SOUTH PASADENA, FL 337074565 (Tel: 7273477524)

👤

Provider Name / Credentials Updated March 10, 2017

Recorded as BRUCE FULLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Dermatology (License #ME99153 in FL)

✅

NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2016

Registered at 6011 CORTEZ RD W, BRADENTON, FL 342102709 (Tel: 9417925040)

📍

Updated Business Mailing Address December 19, 2016

Registered at 6011 CORTEZ RD W, BRADENTON, FL 342102709 (Tel: 9417925040)

👤

Provider Name / Credentials Updated December 19, 2016

Recorded as BRUCE FULLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Dermatology (License #ME99153 in FL)

🟢

Initial NPI Registration & Enumeration June 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588861397

Entity Type:

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

Enumeration Date: June 27, 2007

Last Update: January 21, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

640 W Moana Ln

Reno, NV 895094903

Phone: 7753240699

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.