DR. JONATHAN DANIEL FULLNER (M.D.) – Diagnostic Radiology Physician, NPI 1427310523
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DIAGNOSTIC RADIOLOGY in NE
Provider Addresses for DR. JONATHAN DANIEL FULLNER (M.D.)
601 N 30th St
Department of Radiology
Omaha, NE 681312137
Phone: (402) 449-4753
Type: Location
3901 PINE LAKE RD
LINCOLN, NE 685165497
Phone: (402) 420-3500
Type: Mailing
350 W THOMAS RD
PHOENIX, AZ 850134409
Phone: (602) 406-7783
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-30
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 |
|---|---|---|---|---|
| I20180530000213 | I | Diagnostic Radiology | NE | 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 | 1,312 | 1,078 | $0 |
| 70450 | Ct scan head or brain without contrast | 551 | 507 | $0 |
| 77063 | Screening 3d breast mammography | 437 | 437 | $0 |
| 77067 | Screening mammography | 436 | 436 | $0 |
| 74018 | X-ray of abdomen, 1 view | 359 | 286 | $0 |
Insurance plans in this area (ZIP 68131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Clinical Psychologist | NE | |
| Clinical Psychologist | NE | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX | |
| Clinical Psychologist | NE | |
| Registered Dietitian Or Nutrition Professional | NE | |
| Diagnostic Radiology | MO |
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