CHUCK B FULLER (PA-C) – Physician Assistant, NPI 1124015102

Physician Assistant

CHUCK B FULLER (PA-C) is a healthcare provider. based in Twin falls, Idaho. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA-499 (ID). The NPI Number for CHUCK B FULLER (PA-C) is 1124015102

Main info

Male

29 Years Of Experience

Accepts Medicare Assignment

Name

CHUCK B FULLER (PA-C)

NPI

1124015102

Phone

(208) 732-3400

Address

660 SHOSHONE ST E

Enumeration Date

4 October 2005

Last Update Date

10 January 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2087336700

Graduation Year

1997 (29 years ago)

PAC ID

5698731479

Group Practice PAC ID

6204172802

Professional Enrollment ID

I20041203000151

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHUCK B FULLER (PA-C)

Shoshone Street East, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE 130
TWIN FALLS, ID 833016110
Phone: (208) 732-3400
Fax: (208) 732-3300
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99213	Established patient office or other outpatient visit, 20-29 minutes	80	61	$0
99202	New patient office or other outpatient visit, 15-29 minutes	36	36	$0
81002	Urinalysis, manual test	22	20	$0
87426	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$0

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Insurance plans in this area (ZIP 83301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6204172802View full group profile