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PHILLIP TYLER FULLER M.D.
NPI 1871720300
Urology in Ada, OK

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment
1414 ARLINGTON STREET, SUITE 2300, ADA, OK 74820(580) 332-0112(580) 332-1005 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip Tyler Fuller M.d. NPPES

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

PHILLIP TYLER FULLER M.D. (NPI 1871720300) is an individual urology provider in Ada, Oklahoma, licensed in Oklahoma (30483) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2009).

NPPES Registry Identity

NPI1871720300
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePHILLIP TYLER FULLERCredential: M.D.
Location Address1414 ARLINGTON STREET, SUITE 2300Ada, OK 74820
Mailing Address1414 Arlington Street, Suite 2300Ada, OK 74820 · (580) 332-0112 · Fax (580) 332-1005
Phone(580) 332-0112
Fax(580) 332-1005
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009
Enumeration DateJune 11, 2009
Last NPPES UpdateJune 25, 2014
✔ NPI 1871720300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OK · 30483
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1414 ARLINGTON STREET, Ada, OK 74820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Phillip Tyler Fuller M.d. 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 ID9335373802
PECOS Enrollment IDI20141201001941
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 3

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 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 services104 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.
59 services47 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES

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

ADA MEDICAL INC
Physical Therapist
1414 ARLINGTON STREET, SUITE 2300
ADA, OK 74820
Pontotoc County (580) 332-3353

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 Phillip Fuller's NPI number?

The NPI number for Phillip Fuller is 1871720300. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Phillip Fuller located?

Phillip Fuller practices at 1414 Arlington Street Suite 2300, Ada, OK 74820. The listed phone number is (580) 332-0112.

What is Phillip Fuller's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Phillip Fuller enrolled in Medicare?

Yes. Phillip 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 Phillip Fuller accept?

Health plans from UnitedHealthcare list Phillip 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 Phillip Fuller affiliated with any hospitals?

According to CMS data, Phillip Fuller is affiliated with O U Medical Center and Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Fuller was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.