RICHARD E FULLER (MD) – Adult Medicine Physician, NPI 1306841002
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PHYSICAL MEDICINE AND REHABILITATION in WI
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Provider Addresses for RICHARD E FULLER (MD)
PO BOX 2290
MANITOWOC, WI 542212290
Phone: (920) 320-2591
Type: Mailing
4303, Michigan Avenue, Manitowoc Rapids, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542203066
Phone: (920) 320-4300
Fax: (920) 684-5146
Type: Location
17780 VERSAILLES CT
BROOKFIELD, WI 530455026
Phone: (262) 389-1375
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Bioventus LLC ($160).
Total Amount
$238
General + Research + Ownership
Payments
10
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $160 |
| Averitas Pharma Inc. | $38 |
| Fidia Pharma USA Inc. | $22 |
| Ferring Pharmaceuticals Inc. | $18 |
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: 2004-08-03
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 |
|---|---|---|---|---|
| I20040803001590 | I | Physical Medicine And Rehabilitation | WI | 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 |
|---|---|---|---|---|
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 2,629 | 165 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 1,485 | 172 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 1,460 | 169 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 997 | 130 | $0 |
| 97530 | Therapy procedure using functional activities | 602 | 79 | $0 |
Insurance plans in this area (ZIP 54221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | WI | |
| Pediatric Medicine, Emergency Medicine | MI | |
| General Practice, Preventive Medicine | WI |
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