LARRY CHAD FULLER STUDENT
NPI 1912360421
Radiology - Diagnostic Radiology in Gainesville, FL
About Larry Chad Fuller Student NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY CHAD FULLER STUDENT (NPI 1912360421) is an individual diagnostic radiology provider in Gainesville, Florida, licensed in Florida (OS17722) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Larry Chad Fuller Student 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.
Medicare Billing Reassignments
13Medicare enrollment records show Larry Fuller reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
Ocala, FL 34471
- Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
- 93 clinicians in this Medicare group
Ocala, FL 34471
- Reassigned Medicare billing, Florida enrollment
- 103 clinicians in this Medicare group
Ocala, FL 34481
- Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
- 93 clinicians in this Medicare group
Inverness, FL 34452
- Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
- 97 clinicians in this Medicare group
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida and U.S. Virgin Islands enrollments
- 189 clinicians in this Medicare group
Beaufort, SC 29906
- Reassigned Medicare billing, South Carolina enrollment
- 158 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Florida enrollment
- 78 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Florida and Georgia enrollments
- 83 clinicians in this Medicare group
Galax, VA 24333
- Reassigned Medicare billing, Florida enrollment
- 86 clinicians in this Medicare group
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 81
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Ocala
Acute Care Hospitals · Ocala, FLMarion Communtiy Hospital
Acute Care Hospitals · Ocala, FLTampa General Hospital Crystal River
Acute Care Hospitals · Crystal River, FLNortheast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GASentara Northern Virginia Medical Center
Acute Care Hospitals · Woodbridge, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Larry Fuller's NPI number?
The NPI number for Larry Fuller is 1912360421. It was assigned to this individual provider in the NPPES registry on April 1, 2016.
Where is Larry Fuller located?
Larry Fuller practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0291.
What is Larry Fuller's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Larry Fuller enrolled in Medicare?
Yes. Larry 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.
Which organizations bill Medicare for Larry Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larry Fuller reassigns Medicare benefits to 13 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), Medical Imaging Center Of Ocala LLP (Ocala, FL), Ocala Health Imaging Services LLC (Ocala, FL), Timberridge Imaging Center (Ocala, FL), Inverness Medical Imaging LLC (Inverness, FL) and 8 more organizations, listed in the Medicare section above. 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 Larry Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Larry Fuller affiliated with any hospitals?
According to CMS data, Larry Fuller is affiliated with Adventhealth Ocala, Marion Communtiy Hospital, Tampa General Hospital Crystal River, Northeast Georgia Medical Center, Inc and Sentara Northern Virginia Medical Center.
When was this NPI record last updated?
The NPPES record for Larry Fuller was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.