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MR. TIMOTHY LOUIS FULLER DO
NPI 1497822845
Pediatrics in Greeneville, TN

Active since November 29, 2006PECOS Enrolled
428 EAST VANN ROAD, GREENEVILLE, TN 37743(423) 278-1950(423) 278-1973 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Timothy Louis Fuller Do NPPES

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

MR. TIMOTHY LOUIS FULLER DO (NPI 1497822845) is an individual pediatrics provider in Greeneville, Tennessee, licensed in Tennessee (1343) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497822845
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. TIMOTHY LOUIS FULLERCredential: DO
Location Address428 EAST VANN ROADGreeneville, TN 37743-7202
Mailing AddressPo Box 15004Knoxville, TN 37901 · (865) 522-9730 · Fax (865) 637-2520
Phone(423) 278-1950
Fax(423) 278-1973
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1497822845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 1343
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
428 EAST VANN ROAD, Greeneville, TN 37743
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Other Identifiers 3

Other4121421TN · Bcbst
OtherTN01Q1TN · Jd
Medicare UPINH13261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Louis 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Family
428 E VANN RD
Greeneville, TN 37743
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1467987917 (423) 278-1950

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37743 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Timothy Fuller's NPI number?

The NPI number for Timothy Fuller is 1497822845. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Timothy Fuller located?

Timothy Fuller practices at 428 East Vann Road, Greeneville, TN 37743. The listed phone number is (423) 278-1950.

What is Timothy Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Timothy Fuller enrolled in Medicare?

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

Which organization bills Medicare for Timothy Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fuller reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Greeneville, TN). The 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 Timothy Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Fuller accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Fuller was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.