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MRS. MAUREEN PENDERGAST FULLER P.A.
NPI 1558306209
Physician Assistant in Ware, MA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
85 SOUTH ST, WARE, MA 01082(413) 967-2268(413) 967-2548 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Maureen Pendergast Fuller P.a. NPPES

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

MRS. MAUREEN PENDERGAST FULLER P.A. (NPI 1558306209) is an individual physician assistant in Ware, Massachusetts, licensed in Massachusetts (1366) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1558306209
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MAUREEN PENDERGAST FULLERCredential: P.A.
Location Address85 SOUTH STWare, MA 01082-1625
Mailing Address5220 Belfort Rd Ste 130Jacksonville, FL 32256-6018 · (904) 446-3686 · Fax (904) 446-3032
Phone(413) 967-2268
Fax(413) 967-2548
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 17, 2006
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1558306209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 1366
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
85 SOUTH ST, Ware, MA 01082
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Other Identifiers 1

OtherM15170MA · Bcbs

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

Mrs. Maureen Pendergast Fuller P.a. 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 ID4587735923
PECOS Enrollment IDI20080612000536
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 8

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
351 services94 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.
136 services73 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
113 services18 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.
91 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01082 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
5 suppliers47 claims1,998 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers43 claims2,937 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers63 claims1,314 services$7.13 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims224 services$15.96 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6251
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims180 services$1.93 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers19 claims669 services$0.11 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 19

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

RICHARD ROMANO MD
Emergency Medicine
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 967-2275
HARSHAD V. SANGHVI, MD, PC
Internal Medicine (Cardiovascular Disease)
85 SOUTH ST, SUITE 7
WARE, MA 01082
Hampshire County (413) 967-9974
GEORGE P GRILLO M.D.
Family Medicine
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 967-3900
BAYSTATE MARY LANE HOSPITAL CORPORATION
General Acute Care Hospital
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 967-6211
SOUTH CENTRAL SURGICAL CENTER
Surgery
85 SOUTH ST
WARE, MA 01082
Hampshire County (508) 765-1502
DAVID A ANDREWES M.D.
Emergency Medicine
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 967-2275
ANZHELA SAVONINA FNP-C
Nurse Practitioner
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 000-0000
DAVID I MILLER MD
Emergency Medicine
85 SOUTH ST
WARE, MA 01082
Hampshire County (413) 967-2275

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 Maureen Fuller's NPI number?

The NPI number for Maureen Fuller is 1558306209. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Maureen Fuller located?

Maureen Fuller practices at 85 South St, Ware, MA 01082. The listed phone number is (413) 967-2268.

What is Maureen Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maureen Fuller enrolled in Medicare?

Yes. Maureen 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.

Is Maureen Fuller affiliated with any hospitals?

According to CMS data, Maureen Fuller is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Franklin Medical Center.

When was this NPI record last updated?

The NPPES record for Maureen Fuller was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.