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DR. JOSEPH FULLMER DMD
NPI 1487887204
Dentist - Oral and Maxillofacial Surgery in Heber City, UT

Active since August 27, 2009Opted out of Medicare · through Mar 1, 2028
493 S MAIN ST # 200, HEBER CITY, UT 84032(435) 315-2050 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph Fullmer Dmd NPPES

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

DR. JOSEPH FULLMER DMD (NPI 1487887204) is an individual oral and maxillofacial surgery provider in Heber City, Utah, licensed in Utah (7076335-9924) and active in the NPI registry since August 2009. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487887204
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSEPH FULLMERCredential: DMD
Location Address493 S MAIN ST # 200Heber City, UT 84032-2240
Mailing Address493 S Main St # 200Heber City, UT 84032-2240 · (435) 315-2050
Phone(435) 315-2050
Sole ProprietorYes
Enumeration DateAugust 27, 2009
Last NPPES UpdateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1487887204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in UT · 7076335-9924
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
493 S MAIN ST # 200, Heber City, UT 84032
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Other Identifiers 1

Medicaid1043627607UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph Fullmer Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2018 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2018
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84032 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Joseph Fullmer's NPI number?

The NPI number for Joseph Fullmer is 1487887204. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Joseph Fullmer located?

Joseph Fullmer practices at 493 S Main St # 200, Heber City, UT 84032. The listed phone number is (435) 315-2050.

What is Joseph Fullmer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Fullmer enrolled in Medicare?

No. Joseph Fullmer has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Joseph Fullmer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Joseph Fullmer 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.

When was this NPI record last updated?

The NPPES record for Joseph Fullmer was last updated on May 15, 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.