DR. SAM FULLER MD NPI 1649569484

NPI Details

DR. Sam Fuller, MD is a plastic and reconstructive surgery surgery in South Bend, IN with 16 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Sam Fuller, MD NPI is 1649569484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

53880 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635-567
Phone: (574) 247-9441
Fax: (574) 247-9442

The NPI 1649569484 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.

• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Injection into tendon or ligament (HCPCS:20550)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• Aspiration and/or injection of fluid from small joint (HCPCS:20600)
• Cast supplies, short arm cast, adult (11 years +), fiberglass (HCPCS:Q4010)
• Application of elbow to finger cast (HCPCS:29075)
• Release of wrist ligament using an endoscope (HCPCS:29848)
• X-ray of finger, minimum of 2 views (HCPCS:73140)
• Incision of tendon covering of finger (HCPCS:26055)
• Application of nonmoveable forearm to hand splint (HCPCS:29125)
• Cast supplies, short arm splint, adult (11 years +), fiberglass (HCPCS:Q4022)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/1/2011 and was last updated on 9/3/2024.

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: