DR. SAMUEL EDWARD FULLER (MD) – Diagnostic Radiology Physician, NPI 1093730749
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
927 DIAGNOSTIC RADIOLOGY in CO
Provider Addresses for DR. SAMUEL EDWARD FULLER (MD)
10700 E GEDDES AVE STE 200
ENGLEWOOD, CO 801123861
Phone: (303) 761-9190
Fax: (720) 874-4462
Type: Mailing
10800 E Geddes Ave Ste 300
Englewood, CO 801123895
Phone: (303) 761-9190
Fax: (720) 874-4462
Type: Location
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 801123895
Phone: (303) 761-9190
Fax: (720) 874-4462
Type: Mailing
1801 16TH ST
GREELEY, CO 806315154
Phone: (303) 761-9190
Fax: (720) 874-4462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050519001019 | I | Diagnostic Radiology | NE | TBD |
| I20050826000714 | I | Diagnostic Radiology | CO | TBD |
| I20181129000193 | I | Diagnostic Radiology | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,528 | 21 | $0 |
| 71045 | X-ray of chest, 1 view | 247 | 233 | $0 |
| 73562 | X-ray of knee, 3 views | 220 | 191 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 219 | 185 | $0 |
| 73502 | X-ray of hip, 2-3 views | 212 | 203 | $0 |
Insurance plans in this area (ZIP 80112)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 71250 | CT scan chest | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | CO | 73110 | X-ray of wrist, minimum of 3 views | 33 | 31 |
| DIAGNOSTIC RADIOLOGY | CO | 73140 | X-ray of fingers, minimum of 2 views | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | CO | 73562 | X-ray of knee, 3 views | 75 | 66 |
| DIAGNOSTIC RADIOLOGY | CO | 73630 | X-ray of foot, minimum of 3 views | 40 | 34 |
| DIAGNOSTIC RADIOLOGY | CO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology | HI | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Nuclear Medicine | CO | |
| Interventional Radiology, Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Nuclear Medicine | CO |
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