JOHN FULLER MD
NPI 1093754574
Emergency Medicine in Troy, MO
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show John Fuller reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, MO 63379
- Reassigned Medicare billing, Missouri enrollment
- 229 clinicians in this Medicare group
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 269 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 263 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Missouri enrollment
- 343 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TROY, MO 63379
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.
Which organizations bill Medicare for John Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fuller reassigns Medicare benefits to 5 organizations: Mercy Hospital Lincoln (Troy, MO), Cep America LLC (Wentzville, MO), Mercy Aco Clinical Services Inc (Chesterfield, MO), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL) and Mercy Hospital South (Saint Louis, MO). Each 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 John Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Fuller accept?
Health plans from Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 Fuller, MD · NPI 1093754574
Emergency Medicine physician in Troy, Missouri. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1093754574 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 112096 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E CHERRY ST, Troy, MO 63379-1513
- **Phone:** (636) 528-8551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Lincoln (NPI 1962808733, Troy, MO); Cep America LLC (NPI 1568017994, Wentzville, MO); Mercy Aco Clinical Services Inc (NPI 1063965093, Chesterfield, MO); Southeastern Emergency Physicians Of Memphis LLC (NPI 1437105277, Alton, IL); Mercy Hospital South (NPI 1568481984, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093754574) · Data from the CMS NPPES public registry.