TONYA F. FULLER MD
NPI 1043304611
Psychiatry & Neurology - Neurology in Modesto, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
600 COFFEE RD, MODESTO, CA 95355(209) 550-4785 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2021, Sep 19, 2016 (2 updates tracked since 2016).

About Tonya F. Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYA F. FULLER MD (NPI 1043304611) is an individual neurology provider in Modesto, California, licensed in California (G140674) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1989).

NPPES Registry Identity

NPI1043304611
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameTONYA F. FULLERCredential: MD
Location Address600 COFFEE RDModesto, CA 95355-4201
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1043304611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CA · G140674 Licensed in IL · 036084191
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036084191 (IL)
600 COFFEE RD, Modesto, CA 95355

Other Identifiers 2

Other036084191IL · Il License
Medicaid036084191IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya F. Fuller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466433669
PECOS Enrollment IDI20160927003088
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
308 services223 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
204 services204 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services120 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
53 services35 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
51 services50 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
51 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
600 COFFEE RD
MODESTO, CA 95355
Emergency Medicine
600 COFFEE RD
MODESTO, CA 95355
Podiatrist
600 COFFEE RD
MODESTO, CA 95355
Allergy & Immunology (Allergy)
600 COFFEE RD
MODESTO, CA 95355
Family Medicine
600 COFFEE RD
MODESTO, CA 95355
Internal Medicine
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355

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 Tonya Fuller's NPI number?

The NPI number for Tonya Fuller is 1043304611. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Tonya Fuller located?

Tonya Fuller practices at 600 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 550-4785.

What is Tonya Fuller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tonya Fuller enrolled in Medicare?

Yes. Tonya Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tonya Fuller was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.