MR. KARL R FULLER (P.A.) – Physician Assistant, NPI 1043255821
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MR. KARL R FULLER (P.A.)
1275, Elm Street, Merrick, West Springfield, Hampden County, Massachusetts, 01089, United States
WEST SPRINGFIELD, MA 010891820
Phone: (413) 785-1153
Fax: (413) 781-4951
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)
CMS reports 18 Open Payments records for all available years, with a total value of $556.
Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Nevro Corp. ($148).
Total Amount
$556
General + Research + Ownership
Payments
18
Total payment records
General Amount
$556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $148 |
| Vertos Medical, Inc. | $94 |
| ABBVIE INC. | $89 |
| PAINTEQ LLC | $71 |
| SPR Therapeutics, Inc | $47 |
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: 2008-06-12
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 |
|---|---|---|---|---|
| I20080612000320 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 01089)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Physician Assistant | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Medicine And Rehabilitation | NY | |
| Physical Therapist In Private Practice | MA | |
| Physical Medicine And Rehabilitation | MA | |
| Physical Therapist In Private Practice | MA | |
| Physician Assistant | MA | |
| Physical Medicine And Rehabilitation | MA | |
| - | CO |
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