Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY SCOTT FULLINGIM D.O.
NPI 1255537304
Radiology - Diagnostic Radiology in Tulsa, OK

Active since June 25, 2007PECOS Enrolled
4500 S GARNETT RD, TULSA, OK 74146(918) 599-5031 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Scott Fullingim D.o. NPPES

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

JEREMY SCOTT FULLINGIM D.O. (NPI 1255537304) is an individual diagnostic radiology provider in Tulsa, Oklahoma, licensed in Oklahoma (4186) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255537304
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJEREMY SCOTT FULLINGIMCredential: D.O.
Location Address4500 S GARNETT RDTulsa, OK 74146-5229
Mailing Address16155 N 68th West AveSkiatook, OK 74070-4313 · (918) 269-3359
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
NPI 1255537304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OK · 4186
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4500 S GARNETT RD, Tulsa, OK 74146

Secondary Practice Locations 2

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3202 · Phone (760) 340-3911
Location 23600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100

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

Jeremy Scott Fullingim D.o. 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 ID5092867762
PECOS Enrollment IDI20090710000584, I20090917000124
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 69

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.
1,319 services1,191 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,006 services1,006 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
854 services854 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.
586 services576 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
355 services349 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
284 services284 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Oklahoma State University Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370078
Location744 West 9th StreetTulsa, OK 74127 · Tulsa County
Emergency services Birthing friendly

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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%1,533 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
100%153 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%80 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.

Nurse Anesthetist, Certified Registered
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Hospitalist
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Anesthesiology
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 300
TULSA, OK 74146
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Emergency Medicine
4500 S GARNETT RD, STE 919
TULSA, OK 74146

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 Jeremy Fullingim's NPI number?

The NPI number for Jeremy Fullingim is 1255537304. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Jeremy Fullingim located?

Jeremy Fullingim practices at 4500 S Garnett Rd, Tulsa, OK 74146. The listed phone number is (918) 599-5031.

What is Jeremy Fullingim's specialty?

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

Is Jeremy Fullingim enrolled in Medicare?

Yes. Jeremy Fullingim 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 Jeremy Fullingim accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jeremy Fullingim 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 Jeremy Fullingim affiliated with any hospitals?

According to CMS data, Jeremy Fullingim is affiliated with Saint Francis Hospital Muskogee, St Mary's Regional Medical Center, Oklahoma State University Medical Center, Northeastern Health System and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Fullingim was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.