1. Home
  2. Directory
  3. Florida
  4. Treasure Island
  5. Internal Medicine
  6. NPI Profile

JORDAN FULLER D.O.
NPI 1679922678
Internal Medicine in Treasure Island, FL

Active since June 09, 2016PECOS Enrolled
61 DOLPHIN DR, TREASURE ISLAND, FL 33706(727) 853-1701 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Feb 9, 2023 (2 updates tracked since 2023).

About Jordan Fuller D.o. NPPES

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

JORDAN FULLER D.O. (NPI 1679922678) is an individual internal medicine provider in Treasure Island, Florida, licensed in Florida (OS15231) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1679922678
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJORDAN FULLERCredential: D.O.
Location Address61 DOLPHIN DRTreasure Island, FL 33706-3113
Mailing Address61 Dolphin DrTreasure Island, FL 33706-3113
Phone(727) 853-1701
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateJune 9, 2016
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1679922678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS15231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
61 DOLPHIN DR, Treasure Island, FL 33706
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Fuller D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032402375
PECOS Enrollment IDI20190717000845
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 Reassignments

4

Medicare enrollment records show Jordan Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bayside Medical Group LLC
Same address
Hospitalist
61 DOLPHIN DR
Treasure Island, FL 33706
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1215353818 (513) 300-7105
Lakeland Regional Health Systems, Inc.
53 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251
Hospital Medicine Services Of Fl, LLC
204 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Phoebe Senior Center
254 mi
Clinic/Center
161 E BROAD ST
Camilla, GA 31730
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1821394271 (229) 336-5208

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
321 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
256 services238 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
242 services225 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
210 services113 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
58 services53 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33706 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims30 services$4.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims27 services$67.95 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims25 services$30.98 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 5

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

RODDY JANIEL BERNARD MD
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (727) 853-1701
BAYSIDE MEDICAL GROUP LLC
Hospitalist
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (513) 300-7105
PREMIER ST. PETERSBURG
General Acute Care Hospital
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (513) 300-7105
DR. MAMOON ALI GHELLAI MBBCH
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (513) 300-7105
CHRIS CARSON M.D.
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (727) 954-0671

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 Jordan Fuller's NPI number?

The NPI number for Jordan Fuller is 1679922678. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Jordan Fuller located?

Jordan Fuller practices at 61 Dolphin Dr, Treasure Island, FL 33706. The listed phone number is (727) 853-1701.

What is Jordan Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jordan Fuller enrolled in Medicare?

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

Which organizations bill Medicare for Jordan Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Fuller reassigns Medicare benefits to 4 organizations: Bayside Medical Group LLC (Treasure Island, FL), Lakeland Regional Health Systems, Inc. (Lakeland, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL) and Phoebe Senior Center (Camilla, GA). Each 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 Jordan Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Fuller accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jordan 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 Jordan Fuller affiliated with any hospitals?

According to CMS data, Jordan Fuller is affiliated with St Anthonys Hospital, Morton Plant Hospital and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Fuller was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.