NPI Information

  • NPI: 1841786829
  • Provider Name: DR. MATTHEW DAVID FULLMER, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1226 NE 7TH ST
    GRANTS PASS, OR
    ZIP 97526
  • Phone: (541) 476-6636

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NPI Details

DR. Matthew David Fullmer, DO is a student in an organized health care education training program in Grants Pass, OR with 8 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Matthew David Fullmer, DO NPI is 1841786829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

1226 NE 7TH ST
GRANTS PASS, OR
ZIP 97526-424
Phone: (541) 476-6636

The NPI 1841786829 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/8/2022.

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
1390200000XStudent in an Organized Health Care Education/Training Program5151010511MICHIGANYes
2207W00000XOphthalmologyDO209577OREGONNo

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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