JOHN BRYANT FULLER MD PA
NPI 1003684606
Orthopaedic Surgery - Hand Surgery in New Port Richey, FL
About John Bryant Fuller Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN BRYANT FULLER MD PA (NPI 1003684606) is a healthcare organization registered as a hand surgery in New Port Richey, Florida and active in the NPI registry since December 2023. The organization lists Brian Clukie, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Bryant Fuller Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John Bryant Fuller MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Bryant Fuller MD PA's NPI number?
The NPI number for John Bryant Fuller MD PA is 1003684606. It was assigned to this organization in the NPPES registry on December 13, 2023.
Where is John Bryant Fuller MD PA located?
John Bryant Fuller MD PA is located at 5145 Deer Park Dr, New Port Richey, FL 34653. The listed phone number is (813) 997-2099.
What is John Bryant Fuller MD PA's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.
Is John Bryant Fuller MD PA enrolled in Medicare?
Yes. John Bryant Fuller MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John Bryant Fuller MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hand Surgery) reassigns their Medicare billing to John Bryant Fuller MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does John Bryant Fuller MD PA accept?
Health plans from Molina Healthcare list John Bryant Fuller MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Bryant Fuller MD PA was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Bryant Fuller Md Pa · NPI 1003684606
Hand Surgery organization in New Port Richey, Florida. Organization record, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1003684606 (Entity type: Organization)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Orthopaedic Surgery - Hand Surgery · taxonomy 207XS0106X
- **Organization subpart:** No
- **Authorized official:** Brian Clukie, ADMINISTRATOR
## Practice location
- **Address:** 5145 DEER PARK DR, New Port Richey, FL 34653-7013
- **Phone:** (813) 997-2099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Hand Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1003684606) · Data from the CMS NPPES public registry.