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CHUCK B FULLER PA-C
NPI 1124015102
Physician Assistant in Twin Falls, ID

Active since October 04, 2005PECOS Enrolled
660 SHOSHONE ST E, SUITE 130, TWIN FALLS, ID 83301(208) 732-3400(208) 732-3300 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chuck B Fuller Pa-c NPPES

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

CHUCK B FULLER PA-C (NPI 1124015102) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (PA-499) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124015102
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHUCK B FULLERCredential: PA-C
Location Address660 SHOSHONE ST E, SUITE 130Twin Falls, ID 83301-6110
Mailing Address660 Shoshone St E, Suite 130Twin Falls, ID 83301-6110 · (208) 732-3400 · Fax (208) 732-3300
Phone(208) 732-3400
Fax(208) 732-3300
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateJanuary 10, 2008
✔ NPI 1124015102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-499
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
660 SHOSHONE ST E, Twin Falls, ID 83301
Open in Google Maps ↗

Other Identifiers 4

OtherPAQR4ID · Blue Cross Ind #
Medicare ID-Type Unspecified1666096ID · Medicare Ind #
Medicare PIN16660961ID
Other000010147741ID · Regence Blue Shield Ind #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chuck B Fuller Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services66 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY MOGELSON M.D.
Specialist
660 SHOSHONE ST E, SUITE 110
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3380
JOHN L. SHUSS, M.D., P.L.L.C.
Surgery
660 SHOSHONE ST E, SUITE 140
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3360
SNAKE RIVER UROLOGY, P.C.
Urology
660 SHOSHONE ST E, SUITE 201
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3040
DONALD G PICA M.D.
Internal Medicine (Rheumatology)
660 SHOSHONE ST E, SUITE 210
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3236
ROBERT S LOBB M.D.
Internal Medicine
660 SHOSHONE ST E, SUITE 130
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3200
DONALD G PICA MD PA
Internal Medicine (Rheumatology)
660 SHOSHONE ST E, SUITE 210
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3236

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 Chuck Fuller's NPI number?

The NPI number for Chuck Fuller is 1124015102. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Chuck Fuller located?

Chuck Fuller practices at 660 Shoshone St E Suite 130, Twin Falls, ID 83301. The listed phone number is (208) 732-3400.

What is Chuck Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chuck Fuller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chuck Fuller was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.