DR. BRIAN C FULLER M.D.
NPI 1396972386
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Carrollton, TX

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4780 N JOSEY LN, CARROLLTON, TX 75010(972) 492-1334(972) 492-7909 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2020, Jun 26, 2020, Nov 18, 2019 and 3 more (6 updates tracked since 2018).

About Dr. Brian C Fuller M.d. NPPES

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

DR. BRIAN C FULLER M.D. (NPI 1396972386) is an individual adult reconstructive orthopaedic surgery provider in Carrollton, Texas, licensed in Texas (R8564) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of University Of Missouri, Columbia School Of Medicine (2009).

NPPES Registry Identity

NPI1396972386
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. BRIAN C FULLERCredential: M.D.
Location Address4780 N JOSEY LNCarrollton, TX 75010-4615
Mailing Address4780 N Josey LnCarrollton, TX 75010-4615 · (972) 492-1334 · Fax (972) 492-7909
Fax(972) 492-7909
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateJune 29, 20206 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1396972386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses Licensed in TX · R8564 Licensed in IL · 036144916
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 25870 (NE)
4780 N JOSEY LN, Carrollton, TX 75010

Other Identifiers 1

Other8LJ360TX · Bcbs

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

Dr. Brian C Fuller M.d. 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 ID8426291329
PECOS Enrollment IDI20190806003237
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 22

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
910 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
651 services375 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
340 services253 patients
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.
340 services240 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
326 services132 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
304 services213 patients

Hospital Affiliations CMS Care Compare 4

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%23 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%25 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers22 claims22 services$42.38 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier13 claims13 services$44.78 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier11 claims11 services$92.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Radiology)
4780 N JOSEY LN
CARROLLTON, TX 75010
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX 75010
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX 75010
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX 75010
Clinic/Center (Magnetic Resonance Imaging (MRI))
4780 N JOSEY LN
CARROLLTON, TX 75010
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX 75010
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX 75010
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX 75010

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 Brian Fuller's NPI number?

The NPI number for Brian Fuller is 1396972386. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Brian Fuller located?

Brian Fuller practices at 4780 N Josey Ln, Carrollton, TX 75010. The listed phone number is (972) 492-1334.

What is Brian Fuller's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Brian Fuller enrolled in Medicare?

Yes. Brian Fuller 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 Brian Fuller accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Brian 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 Brian Fuller affiliated with any hospitals?

According to CMS data, Brian Fuller is affiliated with Medical City Plano, Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center, Baylor Scott & White Medical Center - Frisco and Methodist Mckinney Hospital.

When was this NPI record last updated?

The NPPES record for Brian Fuller was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.