EILEEN DOHERTY FULLER MD
NPI 1679551071
Family Medicine in Middlebury, VT

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753(802) 388-1500(802) 388-0441 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eileen Doherty Fuller Md NPPES

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

EILEEN DOHERTY FULLER MD (NPI 1679551071) is an individual family medicine provider in Middlebury, Vermont, licensed in Vermont (042-007267) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of University Of Vermont College Of Medicine (1985).

NPPES Registry Identity

NPI1679551071
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEILEEN DOHERTY FULLERCredential: MD
Location Address1330 EXCHANGE ST STE 201Middlebury, VT 05753-4464
Mailing Address1330 Exchange St Ste 201Middlebury, VT 05753-4464 · (802) 388-1500 · Fax (802) 388-0441
Fax(802) 388-0441
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1985
Enumeration DateJanuary 5, 2006
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1679551071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VT · 042-007267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1330 EXCHANGE ST STE 201, Middlebury, VT 05753

Other Identifiers 1

Medicaid0005628VT

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

Eileen Doherty Fuller Md 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 ID2466462627
PECOS Enrollment IDI20071130000158
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 14

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.

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.
404 services182 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
323 services144 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.
176 services138 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
61 services27 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
32 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05753 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims54 services$4.89 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 6

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

Pediatrics
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Internal Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Internal Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Family Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Nurse Practitioner (Family)
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Health Maintenance Organization
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753

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 Eileen Doherty Fuller's NPI number?

The NPI number for Eileen Doherty Fuller is 1679551071. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Eileen Doherty Fuller located?

Eileen Doherty Fuller practices at 1330 Exchange St Ste 201, Middlebury, VT 05753. The listed phone number is (802) 388-1500.

What is Eileen Doherty Fuller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eileen Doherty Fuller enrolled in Medicare?

Yes. Eileen Doherty 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 Eileen Doherty Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield list Eileen Doherty 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 Eileen Doherty Fuller affiliated with any hospitals?

According to CMS data, Eileen Doherty Fuller is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Eileen Doherty Fuller was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.