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JOHN FULLER MD
NPI 1093754574
Emergency Medicine in Troy, MO

Active since June 06, 2006PECOS Enrolled
1000 E CHERRY ST, TROY, MO 63379(636) 528-8551 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, Apr 7, 2024, May 24, 2023 (3 updates tracked since 2023).

About John Fuller Md NPPES

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

JOHN FULLER MD (NPI 1093754574) is an individual emergency medicine provider in Troy, Missouri, licensed in Missouri (112096) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1093754574
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN FULLERCredential: MD
Location Address1000 E CHERRY STTroy, MO 63379-1513
Mailing Address10010 Kennerly RdSaint Louis, MO 63128-2106 · (314) 525-1900
Phone(636) 528-8551
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1093754574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 112096
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 112096 (MO)
1000 E CHERRY ST, Troy, MO 63379
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Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63379 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

DR. JENNIFER LABUNDY PALAGIRI M.D.
Internal Medicine (Gastroenterology)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3276
MRS. HEATHER S DIXON FNP
Nurse Practitioner (Family)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3495
DR. ZACHARY TAYLOR BROWN PHARMD
Pharmacist
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3365
JULIE IRWIN FNP-BC
Nurse Practitioner (Family)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3221
MALYNDA CHRISTINE LANE FNP-BC
Nurse Practitioner (Adult Health)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3486
MERCY HOSPITAL LINCOLN
Pharmacy
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3365
TIMOTHY MCCULLOUGH MD
Emergency Medicine
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3221
SAMANTHA ELLEDGE MSN, AGPCNP
Nurse Practitioner (Primary Care)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-8551

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 Fuller's NPI number?

The NPI number for John Fuller is 1093754574. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is John Fuller located?

John Fuller practices at 1000 E Cherry St, Troy, MO 63379. The listed phone number is (636) 528-8551.

What is John Fuller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Fuller enrolled in Medicare?

Yes. John Fuller is registered in the Medicare PECOS enrollment system.

What insurance does John Fuller accept?

Health plans from Medica list John 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 John Fuller was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.