ROBERT FULLER (MD) – Emergency Medicine Physician, NPI 1467450395
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
839 EMERGENCY MEDICINE in CT
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Provider Addresses for ROBERT FULLER (MD)
65, Kane Street, West Hartford, Hartford County, Connecticut, 06119, United States
WEST HARTFORD, CT 061192110
Phone:
Type: Mailing
University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States
FARMINGTON, CT 060300001
Phone: (860) 679-3486
Fax: (860) 679-3489
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: 2011-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20110111000632 | I | Emergency Medicine | CT | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 97 | 96 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 58 | 57 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 37 | 36 | $0 |
Insurance plans in this area (ZIP 06119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Emergency Medicine | CT | |
| Clinical Psychologist | CT | |
| P S Y C H I A T R Y | CT | |
| Physician Assistant | DE | |
| Emergency Medicine | CT |
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