GARY TRENT FULLMER P.A.-C
NPI 1427008150
Physician Assistant - Surgical in Chandler, AZ

Q: What is Gary Fullmer's NPI number?

The NPI number for Gary Fullmer is 1427008150. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Gary Fullmer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Fullmer was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 11, 2006PECOS Enrolled

485 S DOBSON RD STE 110, CHANDLER, AZ 85224(480) 728-4470(480) 728-4499 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 5, 2024, Jul 30, 2024, Mar 7, 2023 and 3 more (6 updates tracked since 2018).

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About Gary Trent Fullmer P.a.-c NPPES

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

GARY TRENT FULLMER P.A.-C (NPI 1427008150) is an individual surgical provider in Chandler, Arizona, licensed in Arizona (2774) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427008150

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameGARY TRENT FULLMERCredential: P.A.-C

Location Address485 S DOBSON RD STE 110Chandler, AZ 85224-5600

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4470

Fax(480) 728-4499

Sole ProprietorYes

Enumeration DateMay 11, 2006

Last NPPES UpdateDecember 5, 20246 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1427008150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 2774

485 S DOBSON RD STE 110, Chandler, AZ 85224

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Other Identifiers 1

Other2774AZ · Physician Assistant Licen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Trent Fullmer P.a.-c 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.

Areas of Expertise CMS Part B claims 4

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.

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

17 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

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.

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