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DR. GREGORY W FULLER D.O.
NPI 1174569107
Emergency Medicine in Jackson, MI

Active since June 20, 2006PECOS Enrolled
1006 AIRPORT RD, JACKSON, MI 49202(517) 784-6663(517) 787-7976 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory W Fuller D.o. NPPES

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

DR. GREGORY W FULLER D.O. (NPI 1174569107) is an individual emergency medicine provider in Jackson, Michigan, licensed in Michigan (5101012543) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174569107
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GREGORY W FULLERCredential: D.O.
Location Address1006 AIRPORT RDJackson, MI 49202-1851
Mailing Address1006 Airport RdJackson, MI 49202-1851 · (517) 784-6663 · Fax (517) 787-7976
Phone(517) 784-6663
Fax(517) 787-7976
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1174569107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101012543
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 ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 012543 (MI)
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS5478 (FL)
1006 AIRPORT RD, Jackson, MI 49202
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Other Identifiers 2

OtherGF012543MI · Blue Shield
Medicaid114545400MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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)

Dr. Gregory W Fuller D.o. 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 49202 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Gregory Fuller's NPI number?

The NPI number for Gregory Fuller is 1174569107. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Gregory Fuller located?

Gregory Fuller practices at 1006 Airport Rd, Jackson, MI 49202. The listed phone number is (517) 784-6663.

What is Gregory Fuller's specialty?

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

Is Gregory Fuller enrolled in Medicare?

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

What insurance does Gregory Fuller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Gregory 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 Gregory Fuller was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.