TYLER G FULLER MD
NPI 1992455885
Family Medicine in Peekskill, NY
About Tyler G Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER G FULLER MD (NPI 1992455885) is an individual family medicine provider in Peekskill, New York, licensed in New York (338045) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Hudson Valley Hospital Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Tyler G Fuller Md 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 Reassignment
Medicare enrollment records show Tyler Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peekskill, NY 10566
- Reassigned Medicare billing, New York enrollment
- 683 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hudson Valley Hospital Center
Acute Care Hospitals · Cortlandt Manor, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEEKSKILL, NY 10566
PEEKSKILL, NY 10566
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 Tyler Fuller's NPI number?
The NPI number for Tyler Fuller is 1992455885. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Tyler Fuller located?
Tyler Fuller practices at 1037 Main St, Peekskill, NY 10566. The listed phone number is (914) 734-8800.
What is Tyler Fuller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tyler Fuller enrolled in Medicare?
Yes. Tyler 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 organization bills Medicare for Tyler Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Fuller reassigns Medicare benefits to Sun River Health Inc. (Peekskill, NY). 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 Tyler Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyler Fuller affiliated with any hospitals?
According to CMS data, Tyler Fuller is affiliated with Hudson Valley Hospital Center.
When was this NPI record last updated?
The NPPES record for Tyler Fuller was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Tyler G Fuller, MD · NPI 1992455885
Family Medicine physician in Peekskill, New York. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1992455885 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 338045 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1037 MAIN ST, Peekskill, NY 10566-2913
- **Phone:** (914) 734-8800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sun River Health Inc. (NPI 1619969458, Peekskill, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992455885) · Data from the CMS NPPES public registry.