Corey Fuller, MD
NPI 1053637694 · Sports Medicine (Orthopaedic Surgery) Physician · Loma Linda, CA
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corey Fuller, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Loma Linda, CA (NPI 1053637694).
Provider details
- NPI number
- 1053637694
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A118405 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
16 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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 methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,250 across 1 record (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
Additional practice locations (1)
- 450 N Graham StPortland, OR 97227-1682Phone: (503) 413-4488
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Corey Fuller's NPI number?
- Corey Fuller's National Provider Identifier (NPI) is 1053637694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corey Fuller's specialty?
- Corey Fuller is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Corey Fuller located?
- Corey Fuller's practice location on file with NPPES is 25455 Barton Rd Ste 102b, Loma Linda, CA 92354-3139.
- What is Corey Fuller's phone number?
- The practice phone number listed in the NPPES registry for Corey Fuller is (909) 558-6444.
- Does Corey Fuller accept Medicare?
- Corey Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Corey Fuller's NPI active?
- Yes — Corey Fuller's NPI (1053637694) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.