DR. MARIAN FULLER (MD) – Obstetrics & Gynecology Physician, NPI 1225053366
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for DR. MARIAN FULLER (MD)
315 OAKGROVE ST
MANISTEE, MI 496601176
Phone: (231) 398-9266
Fax: (231) 398-9268
Type: Mailing
250 NELSON RD STE 1
LUDINGTON, MI 494311993
Phone: (231) 843-6767
Type: Location
7 Atkinson Dr Ste 200
Ludington, MI 494311917
Phone: (231) 843-6767
Type: Location
7985 S Mackinaw Trl
Cadillac, MI 496018111
Phone: (231) 876-6100
Fax: (231) 779-5290
Type: Location
14651 W Upright St
Charlevoix, MI 497201266
Phone: (231) 547-4477
Fax: (231) 392-7334
Type: Location
3960 W Royal Dr
Traverse City, MI 496849200
Phone: (231) 947-0404
Type: Location
1250 E Michigan Ave Ste C
Grayling, MI 497387074
Phone: (989) 348-0550
Type: Location
1293 E PARKDALE AVE
MANISTEE, MI 496608904
Phone: (231) 398-1550
Fax: (231) 398-9268
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $2,430.
Total Amount is formed as General ($2,430) + Research ($0) + Ownership ($0) = $2,430.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Axonics, Inc. ($2,127).
Total Amount
$2,430
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $2,127 |
| Astellas Pharma US Inc | $160 |
| Biogen, Inc. | $23 |
| Myriad Women's Health, Inc. | $23 |
| Bayer Healthcare Pharmaceuticals Inc. | $22 |
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: 2006-09-26
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 |
|---|---|---|---|---|
| I20060926000190 | I | Obstetrics/Gynecology | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| U R O L O G Y | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI |
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