Karl Fuller, P.A.
NPI 1043255821 · Physician Assistant · West Springfield, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karl Fuller, P.A. is a Physician Assistant provider in West Springfield, MA (NPI 1043255821).
Provider details
- NPI number
- 1043255821
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- License
- 1110 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
31 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $145 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 11 | $66 |
Typical Medicare-allowed amounts for these services range $66–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 214 | 73 |
| Tramadol Hcl | 184 | 56 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 125 | 25 |
| Oxycodone Hcl | 122 | 38 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 80 | 17 |
| Pregabalin | 68 | 25 |
| Meloxicam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$223 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Karl Fuller's NPI number?
- Karl Fuller's National Provider Identifier (NPI) is 1043255821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karl Fuller's specialty?
- Karl Fuller is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karl Fuller located?
- Karl Fuller's practice location on file with NPPES is 1275 Elm St, West Springfield, MA 01089-1820.
- What is Karl Fuller's phone number?
- The practice phone number listed in the NPPES registry for Karl Fuller is (413) 785-1153.
- Does Karl Fuller accept Medicare?
- Karl Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karl Fuller's NPI active?
- Yes — Karl Fuller's NPI (1043255821) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.