BRAD EDWARD FULLER MD
NPI 1104068949
Pediatrics in Westerville, OH
About Brad Edward Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD EDWARD FULLER MD (NPI 1104068949) is an individual pediatrics provider in Westerville, Ohio, licensed in Ohio (35.096344) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Brad Edward Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brad Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westerville, OH 43082
- Reassigned Medicare billing, Ohio enrollment
- 675 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 43082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brad Fuller's NPI number?
The NPI number for Brad Fuller is 1104068949. It was assigned to this individual provider in the NPPES registry on March 25, 2009.
Where is Brad Fuller located?
Brad Fuller practices at 625 Africa Rd Ste 300, Westerville, OH 43082. The listed phone number is (614) 882-9460.
What is Brad Fuller's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Brad Fuller enrolled in Medicare?
Yes. Brad Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brad Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Fuller reassigns Medicare benefits to Central Ohio Primary Care Physicians, Inc. (Westerville, OH). The 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 Brad Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brad Fuller accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Brad 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 Brad Fuller was last updated on October 31, 2023. 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.
# Brad Edward Fuller, MD · NPI 1104068949
Pediatrics physician in Westerville, Ohio. Individual provider, active in the CMS NPPES registry since March 25, 2009.
## Identity
- **NPI:** 1104068949 (Entity type: Individual)
- **Enumerated:** March 25, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35.096344 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 625 AFRICA RD STE 300, Westerville, OH 43082-9830
- **Phone:** (614) 882-9460 · **Fax:** (614) 882-9802
## 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:** Central Ohio Primary Care Physicians, Inc. (NPI 1194705194, Westerville, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2023
- **Other identifiers:** Medicaid 0061071 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1104068949) · Data from the CMS NPPES public registry.