DR. DANIEL RICHARDS FULLMER (MD) – Diagnostic Radiology Physician, NPI 1114994738
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. DANIEL RICHARDS FULLMER (MD)
3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: (952) 595-1100
Type: Location
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Mailing
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.
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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: 2025-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040303000309 | I | Diagnostic Radiology | TN | TBD |
| I20230926003115 | I | Diagnostic Radiology | UT | TBD |
| I20250804003833 | I | Diagnostic Radiology | TX | TBD |
| I20250916002719 | I | Diagnostic Radiology | MT | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,671 | 1,206 | $0 |
| 70450 | Ct scan head or brain without contrast | 496 | 462 | $0 |
| 74018 | X-ray of abdomen, 1 view | 234 | 207 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 188 | 187 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 186 | 186 | $0 |
Insurance plans in this area (ZIP 55435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 522 | 463 |
| DIAGNOSTIC RADIOLOGY | WA | 73110 | X-ray of wrist, minimum of 3 views | 15 | 14 |
| DIAGNOSTIC RADIOLOGY | WA | 73562 | X-ray of knee, 3 views | 18 | 16 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 16 | 15 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 104 | 104 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology | MA | |
| - | AZ | |
| Diagnostic Radiology | WV | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | MN | |
| Physician Assistant | AZ | |
| - | AZ |
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