BRIAN G. FULLER (M.D.) – Radiation Oncology Physician, NPI 1396834412

BRIAN G. FULLER (M.D.) is a healthcare provider. based in Farmington, New Mexico. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 49432 (CO). The NPI Number for BRIAN G. FULLER (M.D.) is 1396834412

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN G. FULLER (M.D.)
NPI
1396834412
Phone
(505) 609-6259
Address
801 W Maple St
Enumeration Date
12 October 2006
Last Update Date
27 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
5056096463
Graduation Year
1987 (39 years ago)
PAC ID
0749289643
Group Practice PAC ID
4587559505
Professional Enrollment ID
I20240106000745
Address ID
NM874015630FA801XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

28 RADIATION ONCOLOGY in NM

Provider Addresses for BRIAN G. FULLER (M.D.)

  • 801 W Maple St

    Farmington, NM 874015630

    Phone: (505) 609-6259

    Type: Location

  • Bay Area Hospital, 1775, Thompson Road, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 974202125

    Phone: (541) 269-8520

    Fax: (541) 267-5083

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Davol Inc. ($63).

Total Amount

$170

General + Research + Ownership

Payments

5

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240106000745IRadiation OncologyNMTBD

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.

Verify on CMS Revalidation Lookup Tool

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
77014Ct guidance for insertion of radiation therapy fields34334$0
77300Calculation of radiation therapy dose14937$0
77427Radiation treatment management, 5 treatment sessions10739$0
77334Design and construction of complex radiation treatment device6737$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy5412$0
View full utilization report →

Insurance plans in this area (ZIP 87401)

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Provider's Procedures

BRIAN G. FULLER (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYCO77263Management of radiation therapy, complex2424
RADIATION ONCOLOGYCO77300Calculation of radiation therapy dose13043
RADIATION ONCOLOGYCO77427Radiation treatment management, 5 treatments29095

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: 4587559505View full group profile
NameSpecialtyState
-ME
-NM
Internal Medicine, Hospitalist, Internal MedicineNM
Physician AssistantTX
-MN
Clinical PsychologistTX
-NM
N E U R O L O G YTX
Internal MedicineNM
O B S T E T R I C S/ G Y N E C O L O G YNM

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Frequently asked questions

What is the 10-digit NPI for BRIAN G. FULLER (M.D.)?
BRIAN G. FULLER (M.D.) — NPI 1396834412 — is the standard way to identify this listing.
Is BRIAN G. FULLER (M.D.) listed as active for patients and plans?
The listing shows BRIAN G. FULLER (M.D.) as active in the NPI system.
What taxonomy line describes BRIAN G. FULLER (M.D.)?
For research purposes, treat BRIAN G. FULLER (M.D.) as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRIAN G. FULLER (M.D.)?
BRIAN G. FULLER (M.D.)'s geographic hint is Farmington, New Mexico in our summary view.
Is the information about BRIAN G. FULLER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."