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

DR. KENNETH FULLER DO
NPI 1285329706
Family Medicine in Sturgis, SD

Q: What is Kenneth Fuller's NPI number?

The NPI number for Kenneth Fuller is 1285329706. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Kenneth Fuller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Fuller was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 10, 2023PECOS Enrolled

2140 JUNCTION AVE, STURGIS, SD 57785(605) 755-1000 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2026, Apr 10, 2023 (2 updates tracked since 2023).

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About Dr. Kenneth Fuller Do NPPES

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

DR. KENNETH FULLER DO (NPI 1285329706) is an individual family medicine provider in Sturgis, South Dakota, licensed in South Dakota (18837) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285329706

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH FULLERCredential: DO

Location Address2140 JUNCTION AVESturgis, SD 57785-2358

Mailing Address2140 Junction AveSturgis, SD 57785-2358 · (605) 755-1000

Phone(605) 755-1000

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateAugust 8, 20262 updates tracked since enumeration

NPPES CertifiedAugust 8, 2026

✔ NPI 1285329706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 18837

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2140 JUNCTION AVE, Sturgis, SD 57785

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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. Kenneth Fuller Do 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 57785 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 19

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

MONUMENT HEALTH NETWORK, INC.

General Acute Care Hospital (Critical Access)