DR. DANIEL RICHARDS FULLMER MD
NPI 1114994738
Radiology - Diagnostic Radiology in Lynnwood, WA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036(425) 563-1500(425) 563-1501 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Apr 12, 2019, Oct 25, 2017 (3 updates tracked since 2017).

About Dr. Daniel Richards Fullmer Md NPPES

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

DR. DANIEL RICHARDS FULLMER MD (NPI 1114994738) is an individual diagnostic radiology provider in Lynnwood, Washington, licensed in Washington (MD00049079) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1114994738
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DANIEL RICHARDS FULLMERCredential: MD
Location Address19020 33RD AVE W STE 210Lynnwood, WA 98036-4748
Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1501
Fax(425) 563-1501
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1996
Enumeration DateMarch 2, 2006
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1114994738 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 WA · MD00049079 Licensed in ID · M-12249
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
19020 33RD AVE W STE 210, Lynnwood, WA 98036

Secondary Practice Location 1

Location 13600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100

Other Identifiers 7

Other0285030WA · L&i-radia Rest Of Wa
Other0377766WA · L&i-swedish Radia Edmonds
Medicaid1114994738ID
Medicaid1054630WA
Other4019715Bcbs
Other0377759WA · L&i-radia King County
Other4102721Bcbs

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. Daniel Richards Fullmer 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 ID1850204413
PECOS Enrollment IDI20230926003115
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 38

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
693 services634 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
332 services310 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
248 services247 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
137 services136 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
129 services129 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
126 services118 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98036 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%87 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
92%466 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Vascular & Interventional Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Diagnostic Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Diagnostic Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Diagnostic Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Vascular & Interventional Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Diagnostic Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Physician Assistant (Medical)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Radiology (Diagnostic Radiology)
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036

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 Daniel Fullmer's NPI number?

The NPI number for Daniel Fullmer is 1114994738. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Daniel Fullmer located?

Daniel Fullmer practices at 19020 33rd Ave W Ste 210, Lynnwood, WA 98036. The listed phone number is (425) 563-1500.

What is Daniel Fullmer's specialty?

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

Is Daniel Fullmer enrolled in Medicare?

Yes. Daniel Fullmer 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 Daniel Fullmer accept?

Health plans from Blue Cross and Blue Shield of Montana, CareSource and Oscar Insurance Company list Daniel Fullmer 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.

Is Daniel Fullmer affiliated with any hospitals?

According to CMS data, Daniel Fullmer is affiliated with Self Regional Healthcare, Abbeville Area Medical Center, Jackson-Madison County General Hospital, Tristar Skyline Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Fullmer was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.