JEREMY SCOTT FULLINGIM D.O. NPI 1255537304

NPI Information

  • NPI: 1255537304
  • Provider Name: JEREMY SCOTT FULLINGIM, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 S GARNETT RD
    TULSA, OK
    ZIP 74146
  • Phone: (918) 599-5031

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NPI Details

Jeremy Scott Fullingim, D.O. is a diagnostic radiology radiology in Tulsa, OK with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jeremy Scott Fullingim, D.O. NPI is 1255537304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 S GARNETT RD
TULSA, OK
ZIP 74146-229
Phone: (918) 599-5031

The NPI 1255537304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Screening mammography (HCPCS:77067)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 6/25/2007 and was last updated on 6/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology4186OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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