DR. KEITH LYLE FULLER D.O.
NPI 1730125527
Family Medicine in Opelika, AL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
87.12/100
CMS Quality Rating
2214 GATEWAY DR, SUITE C, OPELIKA, AL 36801(334) 741-0075(334) 741-4075 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Keith Lyle Fuller D.o. NPPES

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

DR. KEITH LYLE FULLER D.O. (NPI 1730125527) is an individual family medicine provider in Opelika, Alabama, licensed in Alabama (DO350) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1730125527
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITH LYLE FULLERCredential: D.O.
Location Address2214 GATEWAY DR, SUITE COpelika, AL 36801-1500
Mailing Address2214 Gateway Dr, Suite COpelika, AL 36801-1500 · (334) 741-0075 · Fax (334) 741-4075
Fax(334) 741-4075
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1992
Enumeration DateJune 21, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1730125527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · DO350
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.
2214 GATEWAY DR, Opelika, AL 36801

Other Identifiers 3

OtherDO350AL · Medical License
Medicaid000026574AL
Other51026574AL · Blue Cross Blue Shield

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

Dr. Keith Lyle Fuller D.o. 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 ID9335100148
PECOS Enrollment IDI20051128000429
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 23

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,849 services338 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.
879 services291 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
758 services184 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
668 services239 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
633 services181 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
287 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.49
Promoting Interoperability87
Improvement Activities40
Cost67.54

Reported Quality Measures

Advance Care Plan
48%1,384 patients2/55-star benchmark: 100%
Breast Cancer Screening
45%562 patients2/55-star benchmark: 93%
Chlamydia Screening for Women
0%44 patients
Closing the Referral Loop: Receipt of Specialist Report
36%549 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
62%1,158 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
49%1,060 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
19%424 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%424 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
42%14,611 patients1/55-star benchmark: 100%
e-Prescribing
98%4,985 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
53%1,243 patients3/55-star benchmark: 100%
HIV Screening
3%1,186 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%10,955 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
27%1,090 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%625 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 1,231 patients
Patients totalRate: 11% · 1,302 patients
12%1,302 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

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
21 suppliers95 claims223 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers45 claims61 services$1.12 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
2 suppliers14 claims355 services$5.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.21 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims4,940 services$0.32 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$57.87 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.

Durable Medical Equipment & Medical Supplies
2214 GATEWAY DR, SUITE G
OPELIKA, AL 36801
Home Health
2214 GATEWAY DR, SUITE B
OPELIKA, AL 36801
Specialist
2214 GATEWAY DR, SUITE C
OPELIKA, AL 36801
Family Medicine
2214 GATEWAY DR, SUITE C
OPELIKA, AL 36801
Nurse Practitioner (Family)
2214 GATEWAY DR, #C
OPELIKA, AL 36801
Durable Medical Equipment & Medical Supplies
2214 GATEWAY DR, SUITE G
OPELIKA, AL 36801

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 Keith Fuller's NPI number?

The NPI number for Keith Fuller is 1730125527. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Keith Fuller located?

Keith Fuller practices at 2214 Gateway Dr Suite C, Opelika, AL 36801. The listed phone number is (334) 741-0075.

What is Keith Fuller's specialty?

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

Is Keith Fuller enrolled in Medicare?

Yes. Keith 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 Keith Fuller accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Keith 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 Keith Fuller was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.