JACOB AARON FULLER (DO) – Family Medicine Physician, NPI 1669094371
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for JACOB AARON FULLER (DO)
3401 W GORE BLVD
LAWTON, OK 735056332
Phone:
Type: Mailing
2621 N WHISENANT DR
DUNCAN, OK 735330911
Phone:
Type: Mailing
2515 N WHISENANT DR STE 301
DUNCAN, OK 735332684
Phone: (580) 251-6806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $271.
Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($271).
Total Amount
$271
General + Research + Ownership
Payments
12
Total payment records
General Amount
$271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $271 |
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: 2023-07-19
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 |
|---|---|---|---|---|
| I20230719003998 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OK | |
| Family Practice | OK | |
| Family Practice | OK |
Reviews
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