DR. GREGORY MICHAEL FULLER (M.D.) – Family Medicine Physician, NPI 1356347306

DR. GREGORY MICHAEL FULLER (M.D.) is a healthcare provider. based in North richland hills, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. H8646 (TX). The NPI Number for DR. GREGORY MICHAEL FULLER (M.D.) is 1356347306

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY MICHAEL FULLER (M.D.)
NPI
1356347306
Phone
(817) 284-1165
Address
4351 BOOTH CALLOWAY RD
Enumeration Date
23 June 2005
Last Update Date
20 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8172841165
Graduation Year
1987 (39 years ago)
PAC ID
6800951138
Group Practice PAC ID
9638154313
Professional Enrollment ID
I20101026000685
Address ID
TX761807319NO4351XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Loading map...

Provider Addresses for DR. GREGORY MICHAEL FULLER (M.D.)

  • 4351, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States

    SUITE 101

    NORTH RICHLAND HILLS, TX 761807378

    Phone: (817) 284-1165

    Fax: (817) 284-4990

    Type: Mailing

  • 300, North Rufe Snow Drive, Keller, Tarrant County, Texas, 76248, United States

    KELLER, TX 76248

    Phone: (817) 431-3800

    Fax: (817) 337-0784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 216 Open Payments records for all available years, with a total value of $5,163.

Total Amount is formed as General ($5,163) + Research ($0) + Ownership ($0) = $5,163.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($437).

Total Amount

$5,163

General + Research + Ownership

Payments

216

Total payment records

General Amount

$5,163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2010-10-26

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
I20101026000685IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes283148$0
99214Established patient office or other outpatient visit, 30-39 minutes272156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
96127Assessment of emotional or behavioral problems4747$0
81003Automated urinalysis test3621$0
View full utilization report →

Insurance plans in this area (ZIP 76180)

Loading plans...

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: 9638154313View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. GREGORY MICHAEL FULLER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1356347306 for DR. GREGORY MICHAEL FULLER (M.D.).
Is DR. GREGORY MICHAEL FULLER (M.D.)'s NPI status active today?
Active status means DR. GREGORY MICHAEL FULLER (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. GREGORY MICHAEL FULLER (M.D.)'s specialty?
The extract shows Family Medicine Physician for DR. GREGORY MICHAEL FULLER (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. GREGORY MICHAEL FULLER (M.D.)?
The directory associates DR. GREGORY MICHAEL FULLER (M.D.) with North Richland Hills, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. GREGORY MICHAEL FULLER (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. JUSTIN VICTOR III BARTOS (M.D.)

Family Medicine Physician
City Point Drive, North Richland Hills, Tarrant County, Texas, 76180, United States
NPI: 1720087349
3025 N Tarrant Pkwy # 170
NPI: 1295736973

JOHN D GABRIEL (MD)

Family Medicine Physician
4351, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States
NPI: 1407844764

DR. JOSEPH O LAMBERT (MD)

Family Medicine Physician
4351, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States
NPI: 1114915493

PAMELA BROOKE MARTIN (MD)

Family Medicine Physician
4351, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States
NPI: 1013905306

DR. LISA BROWN (M.D.)

Family Medicine Physician
601 S HARBOUR ISLAND BLVD STE 200
NPI: 1922087139

DR. DEMETRIA M SMITH (MD)

Family Medicine Physician
Eldorado Parkway, McKinney, Collin County, Texas, 75069, United States
NPI: 1255381059

DR. AJAZ OMER KHAN (M.D.)

Family Medicine Physician
10009 N MacArthur Blvd Ste 109
NPI: 1043257645