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DR. MATTHEW JOSEPH FULLER M.D.
NPI 1396060406
Emergency Medicine in Salt Lake City, UT

Active since March 31, 2010PECOS Enrolled
92.06/100
CMS Quality Rating
UNIVERSITY OF UTAH HOSPITAL, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Apr 3, 2026, Dec 8, 2015 (3 updates tracked since 2015).

About Dr. Matthew Joseph Fuller M.d. NPPES

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

DR. MATTHEW JOSEPH FULLER M.D. (NPI 1396060406) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (8140847-1205) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1396060406
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW JOSEPH FULLERCredential: M.D.
Location AddressUNIVERSITY OF UTAH HOSPITALSalt Lake City, UT 84132-0001
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2010
Enumeration DateMarch 31, 2010
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1396060406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 8140847-1205
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.
UNIVERSITY OF UTAH HOSPITAL, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 1900 Round Valley DrPark City, UT 84060-7552 · Phone (435) 658-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Joseph Fuller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749420115
PECOS Enrollment IDI20260521001650, I20260612004128
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Matthew Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
0.7 mi
Body Imaging
333 S 900 E
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1073642757 (801) 933-6000
University Of Utah Adult Services
0.7 mi
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1164826665 (801) 587-6336
Teton Valley Health Care, Inc
200 mi
Rural Health
83 N MAIN ST
Victor, ID 83455
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1477809622 (Idaho)
  • 90 clinicians in this Medicare group
NPI 1801143029 (208) 354-6307
Memorial Medical Center Inc
1,120 mi
Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group
NPI 1437179231 (715) 685-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

KRISTINA MCKINLEY M.D.
Pediatrics
UNIVERSITY OF UTAH HOSPITAL, 30 NORTH 1900 EAST, RM 1C412
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2401
LAURIE DARNELL PHARMD
Pharmacist
UNIVERSITY OF UTAH HOSPITAL, 50 N MEDICAL DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-3713
KAJSA ELIZABETH AFFOLTER
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF UTAH HOSPITAL, 50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2507
DR. HEATHER RENEE SCOTT M.D.
Internal Medicine
UNIVERSITY OF UTAH HOSPITAL, 30 N 1990 EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2401
SHANEEN UMAKANT DOCTOR M.D.
Emergency Medicine (Emergency Medical Services)
UNIVERSITY OF UTAH HOSPITAL, 30 NORTH 1900 EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2401
IBRAHIM TAWHARI
Internal Medicine (Nephrology)
UNIVERSITY OF UTAH HOSPITAL, 50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
NICOLE STANLEY
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF UTAH HOSPITAL, 50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
HOLLY SMOCK PA-C
Physician Assistant
UNIVERSITY OF UTAH HOSPITAL, 50 N. MEDICAL DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121

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 Matthew Fuller's NPI number?

The NPI number for Matthew Fuller is 1396060406. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Matthew Fuller located?

Matthew Fuller practices at University Of Utah Hospital, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Matthew Fuller's specialty?

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

Is Matthew Fuller enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fuller reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT), Teton Valley Health Care, Inc (Victor, ID) and Memorial Medical Center Inc (Ashland, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fuller accept?

Health plans from Medica list Matthew 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.

Is Matthew Fuller affiliated with any hospitals?

According to CMS data, Matthew Fuller is affiliated with Park City Hospital, Heber Valley Hospital and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Fuller was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.