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DR. SAM ERONI FULLMAN MBBS
NPI 1851171839
Preventive Medicine - Public Health & General Preventive Medicine in Pago Pago, AS

Active since October 05, 2023PECOS Enrolled
TAFUNA HEALTH CENTER, PETESA RD, TAFUNA, PAGO PAGO, AS 96799(684) 699-6380 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sam Eroni Fullman Mbbs NPPES

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

DR. SAM ERONI FULLMAN MBBS (NPI 1851171839) is an individual public health & general preventive medicine provider in Pago Pago, American Samoa, licensed in American Samoa (5063C) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851171839
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. SAM ERONI FULLMANCredential: MBBS
Location AddressTAFUNA HEALTH CENTER, PETESA RD, TAFUNAPago Pago, AS 96799
Mailing AddressTafuna Health Center, Petesa Rd, TafunaPago Pago, AS 96799 · (684) 699-6380
Phone(684) 699-6380
Sole ProprietorNo
Enumeration DateOctober 5, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1851171839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in AS · 5063C
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Eroni Fullman Mbbs 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 Sam Fullman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Samoa Medical Center
Internal Medicine
1TURNER DR
Pago, AS 96799
  • Reassigned Medicare billing, American Samoa enrollment
  • 100 clinicians in this Medicare group
NPI 1043085681 (684) 633-1222

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 96799 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

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 Sam Fullman's NPI number?

The NPI number for Sam Fullman is 1851171839. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Sam Fullman located?

Sam Fullman practices at Tafuna Health Center Petesa Rd, Tafuna, Pago Pago, AS 96799. The listed phone number is (684) 699-6380.

What is Sam Fullman's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Sam Fullman enrolled in Medicare?

Yes. Sam Fullman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Fullman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Fullman reassigns Medicare benefits to American Samoa Medical Center (Pago, AS). 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 Sam Fullman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sam Fullman was last updated on October 5, 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.