DR. SAMUEL EDWARD FULLER MD
NPI 1093730749
Radiology - Diagnostic Radiology in Greeley, CO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1801 16TH ST, GREELEY, CO 80631(303) 761-9190(720) 874-4462 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Dec 6, 2018, Aug 29, 2018 and 3 more (6 updates tracked since 2018).

About Dr. Samuel Edward Fuller Md NPPES

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

DR. SAMUEL EDWARD FULLER MD (NPI 1093730749) is an individual diagnostic radiology provider in Greeley, Colorado, licensed in Colorado (43466) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Englewood, and is a graduate of Saint Louis University School Of Medicine (1999).

NPPES Registry Identity

NPI1093730749
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SAMUEL EDWARD FULLERCredential: MD
Location Address1801 16TH STGreeley, CO 80631-5154
Mailing Address10800 E Geddes Ave Ste 300Englewood, CO 80112-3895 · (303) 761-9190 · Fax (720) 874-4462
Fax(720) 874-4462
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1999
Enumeration DateJuly 13, 2006
Last NPPES UpdateDecember 9, 20226 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
NPI 1093730749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in CO · 43466 Licensed in CA · A72891 Licensed in WY · 7318A Licensed in NE · 23277 Licensed in KS · 04-41647 Licensed in HI · MD19873
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1801 16TH ST, Greeley, CO 80631

Secondary Practice Location 1

Location 110800 E Geddes Ave Ste 300Englewood, CO 80112-3895 · Phone (303) 761-9190 · Fax (720) 874-4462

Other Identifiers 12

OtherKA3249113KS · Medicare
Other111257122KS · Medicare
Other650671CO · Medicare
Medicaid88153746CO
OtherNA1214128NE · Medicare Ptan
Other638284YQ33CO · Medicare
Other638284YQN9CO · Medicare
Other638284YQPGCO · Medicare
OtherNA1215129NE · Medicare Ptan
Other638284AE6YCO · Medicare
OtherNA2517106NE · Medicare Ptan
Other638284ZLJ3CO · Medicare Ptan

Accepted Insurance

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

Dr. Samuel Edward 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 ID3870576465
PECOS Enrollment IDI20050519001019, I20050826000714, I20181129000193
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 64

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,852 services29 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
187 services168 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
176 services161 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
173 services168 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
172 services141 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
148 services119 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80631 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Internal Medicine
1801 16TH ST
GREELEY, CO 80631
Nurse Practitioner (Neonatal)
1801 16TH ST
GREELEY, CO 80631
Clinic/Center (Multi-Specialty)
1801 16TH ST
GREELEY, CO 80631
Neurological Surgery
1801 16TH ST
GREELEY, CO 80631
Social Worker (Clinical)
1801 16TH ST
GREELEY, CO 80631
Nurse Anesthetist, Certified Registered
1801 16TH ST
GREELEY, CO 80631
Pharmacy (Community/Retail Pharmacy)
1801 16TH ST
GREELEY, CO 80631
Emergency Medicine
1801 16TH ST
GREELEY, CO 80631

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 Samuel Fuller's NPI number?

The NPI number for Samuel Fuller is 1093730749. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Samuel Fuller located?

Samuel Fuller practices at 1801 16th St, Greeley, CO 80631. The listed phone number is (303) 761-9190.

What is Samuel Fuller's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Fuller enrolled in Medicare?

Yes. Samuel 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.

What insurance does Samuel Fuller accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Samuel Fuller 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 Samuel Fuller was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.