Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Bruce W. Fuller , MD

Dermatology โ€ข Reno, NV

Active NPI 1588861397 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

640 W Moana Ln
Reno, NV 895094903

Call 7753240699 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

640 W Moana Ln

Reno, NV 895094903

Telephone 7753240699
Fax 7753236814
Organization at the Same NPPES Address or Phone
Mountain West Derm - Blackhart Pllc Facility NPI 1740633015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Carson City, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mountain West Derm - Blackhart Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

2003

Medicare patients

1,499 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $477,418 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $329,036 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

738 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$43,679 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,062.31 across 52 records.

By nature of payment

  • Food and Beverage: $1,062.31 across 52 records.

Reporting-company totals (3 largest of 15)

  • Amgen Inc.: $175.32 across 10 records.
  • Regeneron Pharmaceuticals, Inc.: $148.47 across 5 records.
  • ABBVIE INC.: $141.68 across 13 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Fuller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Fuller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Reno and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Dermatology in Reno, NV (2024, 21 clinicians with data). Median for this group: 4,044. Middle half: 2,559 to 5,774.

More Medicare Part B services than 85% of clinicians listed under Dermatology in Nevada (2024, 58 clinicians with data). Median for this group: 3,642. Middle half: 2,081 to 5,613.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Dermatology in Reno, NV (2024, 21 clinicians with data). Median for this group: $239,487. Middle half: $192,363 to $482,243.

A higher Medicare-allowed amount than 70% of clinicians listed under Dermatology in Nevada (2024, 58 clinicians with data). Median for this group: $246,079. Middle half: $186,647 to $481,037.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Dermatology in Reno, NV (2024, 21 clinicians with data). Median for this group: $173,959. Middle half: $133,751 to $357,487.

A higher Medicare payment amount than 70% of clinicians listed under Dermatology in Nevada (2024, 58 clinicians with data). Median for this group: $175,536. Middle half: $128,900 to $353,944.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Dermatology in Reno, NV (2024, 23 clinicians with data). Median for this group: 517. Middle half: 315 to 737.

More Part D prescriptions than 60% of clinicians listed under Dermatology in Nevada (2024, 62 clinicians with data). Median for this group: 491. Middle half: 285 to 860.

Part D drug cost

Close to the middle for clinicians listed under Dermatology in Reno, NV (2024, 23 clinicians with data). Median for this group: $43,679. Middle half: $11,443 to $104,162.

Close to the middle for clinicians listed under Dermatology in Nevada (2024, 62 clinicians with data). Median for this group: $52,646. Middle half: $6,554 to $215,678.

25 active clinicians are listed under Dermatology with a practice address in Reno, NV (87 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Reno

0% of these 25 clinicians have the CMS telehealth indicator.

84% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 52 records totaling $1,062.31.

Manufacturer Payment Nature Product Type Amount ($)
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $74.38
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
Sotyktu General $46.26
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $39.68
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $39.07
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $33.32
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $33.32
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $32.65
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $32.05
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $30.26
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $27.65
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $26.80
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $26.71
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $25.35
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $24.73
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $24.22
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $24.06
Eli Lilly and Company
Food and Beverage
In-kind items and services
TALTZ General $23.26
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
Sotyktu General $23.22
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $22.42
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $21.84
Krystal Biotech Inc
Food and Beverage
In-kind items and services
VYJUVEK General $20.03
Eli Lilly and Company
Food and Beverage
In-kind items and services
EBGLYSS General $19.78
Mallinckrodt Hospital Products Inc.
Food and Beverage
In-kind items and services
ACTHAR General $19.50
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $19.48
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $19.48

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
2,005 1,347 $187.84 $88.78
17000 Destruction of precancer skin growth, 1 growth
1,289 929 $159.14 $55.62
11102 Biopsy of related skin growth, first growth
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 skin growth, 1-14 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 with straightforward medical decision making, if using time, 15 minutes or more
11 11 $157.18 $70.74

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 190 5,715 $1,833.96 115
Ketoconazole Ketoconazole 117 3,521 $2,294.07 57
Mupirocin Mupirocin 53 1,272 $531.01 46
Clobetasol Propionate Clobetasol Propionate 47 1,385 $1,979.45 21
Fluocinonide Fluocinonide 45 1,620 $1,403.67 24
Hydrocortisone Hydrocortisone 43 1,417 $288.52 34
Metronidazole Metronidazole 41 1,217 $2,178.29 20
Betamethasone Dipropionate Betamethasone Dipropionate 28 826 $1,231.41 14
Valacyclovir Valacyclovir Hcl 27 992 $406.39 โ€”
Doxycycline Hyclate Doxycycline Hyclate 20 458 $228.20 โ€”
Hydrocortisone Valerate Hydrocortisone Valerate 20 605 $706.84 14
Clindamycin Phosphate Clindamycin Phosphate 18 554 $420.98 โ€”
Fluorouracil Fluorouracil 15 430 $901.42 13
Imiquimod Imiquimod 12 376 $331.87 โ€”
Otezla Apremilast 12 360 $28,943.04 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-21
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20191108001950

Enrollment State Jurisdiction

NV

PECOS Control ID

9537258231

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Laura Biehle , PA-C

Physician Assistant

NPI 1932762218

Physician Assistant (Certified)

NPI 1992708655

Doctor of Medicine (M.D.)

NPI 1710372743

Doctor of Medicine (M.D.)

Amber Damonte , PA-C

Physician Assistant

NPI 1063036978

Physician Assistant (Certified)

NPI 1174849194

Doctor of Medicine (M.D.)

Dr. Michael Heaphy , MD

Dermatology - Dermatopathology

NPI 1174620496

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
๐Ÿ“
Updated Practice Location January 21, 2026

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

๐Ÿ“
Updated Business Mailing Address January 21, 2026

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2026

Dermatology (license number reported to NPPES: NV 19252)

๐Ÿ“
Updated Practice Location January 31, 2019

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

๐Ÿ“
Updated Business Mailing Address January 31, 2019

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

โœ…
NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 10, 2017

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

๐Ÿ“
Updated Business Mailing Address March 10, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated March 10, 2017

Recorded as BRUCE FULLER, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Dermatology (license number reported to NPPES: FL ME99153)

โœ…
NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 19, 2016

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

๐Ÿ“
Business Mailing Address (Initial Record) December 19, 2016

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 19, 2016

Recorded as BRUCE FULLER, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Dermatology (license number reported to NPPES: FL ME99153)

๐ŸŸข
Initial NPI Registration & Enumeration June 27, 2007

First registered as active Individual Practitioner in NPPES Database.

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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

Other Dermatology Specialists in Reno

All Dermatology Specialists in Reno

Mailing Address

640 W Moana Ln

Reno, NV 895094903

Phone: 7753240699

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.