ALEN MUNSON FULLER (M.D.) – Otolaryngology Physician, NPI 1164422408
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OTOLARYNGOLOGY in OK
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Provider Addresses for ALEN MUNSON FULLER (M.D.)
Herman Kaiser Medical Plaza, 1725, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
SUITE 100
TULSA, OK 741045437
Phone: (918) 742-7376
Fax: (918) 743-2117
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)
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: 2009-12-16
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 |
|---|---|---|---|---|
| I20091216000353 | I | Otolaryngology | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 821 | 72 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 420 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 230 | 129 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 98 | 58 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 74104)
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