DR. JONATHAN ELLIS FULLER (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1053314443

DR. JONATHAN ELLIS FULLER (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in Orthopaedic Surgery of the Spine Physician. They hold the professional credentials M.D.. They hold a License No. 20813 (NE). The NPI Number for DR. JONATHAN ELLIS FULLER (M.D.) is 1053314443

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN ELLIS FULLER (M.D.)
NPI
1053314443
Phone
(402) 496-0404
Address
13616 CALIFORNIA ST
Enumeration Date
31 May 2005
Last Update Date
28 January 2009

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
4025722714
Graduation Year
1987 (39 years ago)
PAC ID
3678473451
Group Practice PAC ID
9830080613
Professional Enrollment ID
I20050817000403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JONATHAN ELLIS FULLER (M.D.)

  • California Street, Omaha, Douglas County, Nebraska, 68132, United States

    STE 100

    OMAHA, NE 681545335

    Phone: (402) 496-0404

    Fax: (402) 496-0517

    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 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($20).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8869$0
72110X-ray of lower and sacral spine, minimum of 4 views6362$0
99212Established patient office or other outpatient visit, 10-19 minutes6256$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion4322$0
72100X-ray of lower and sacral spine, 2-3 views3826$0
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Insurance plans in this area (ZIP 68154)

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Provider's Procedures

DR. JONATHAN ELLIS FULLER (M.D.) performs procedures in Orthopaedic Surgery of the Spine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYNE22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2828
ORTHOPEDIC SURGERYNE63048Partial removal of spine bone with release of spinal cord and/or nerves3322

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: 9830080613View full group profile
NameSpecialtyState
Orthopedic SurgeryNE
Nurse PractitionerNE
Physical Therapist In Private PracticeNE
Physician AssistantNE
Physical Therapist In Private PracticeAZ
Orthopedic SurgeryNE
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMN
Orthopedic SurgeryNE
Physician AssistantNE

Reviews

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Frequently asked questions

Is DR. JONATHAN ELLIS FULLER (M.D.) listed with a National Provider Identifier?
Yes — DR. JONATHAN ELLIS FULLER (M.D.) has NPI 1053314443 on file in the registry.
Active or inactive — what applies to DR. JONATHAN ELLIS FULLER (M.D.)?
You should see DR. JONATHAN ELLIS FULLER (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JONATHAN ELLIS FULLER (M.D.)?
DR. JONATHAN ELLIS FULLER (M.D.)'s record emphasizes Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JONATHAN ELLIS FULLER (M.D.) located near Omaha?
DR. JONATHAN ELLIS FULLER (M.D.) currently maps to Omaha, Nebraska in this extract.
Does DR. JONATHAN ELLIS FULLER (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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