Jeremy Fullingim, D.O.
NPI 1255537304 · Diagnostic Radiology Physician · Tulsa, OK
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremy Fullingim, D.O. is a Diagnostic Radiology Physician provider in Tulsa, OK (NPI 1255537304).
Provider details
- NPI number
- 1255537304
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 4186 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
7,620 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 1,319 | $8 |
| Screening Mammography77067 | 1,006 | $34 |
| Screening 3d Breast Mammography77063 | 854 | $26 |
| Ct Scan Head Or Brain Without Contrast70450 | 586 | $37 |
| X-Ray of Chest, 2 Views71046 | 355 | $10 |
| Low Dose Ct Scan of Chest for Lung Cancer Screening71271 | 284 | $48 |
| Ct Scan of Abdomen and Pelvis With Contrast |
Practice location
Mailing address
Additional practice locations (1)
- 3600 Minnesota Dr Ste 800Edina, MN 55435-7915Phone: (952) 595-1100
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Jeremy Fullingim's NPI number?
- Jeremy Fullingim's National Provider Identifier (NPI) is 1255537304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Fullingim's specialty?
- Jeremy Fullingim is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jeremy Fullingim located?
- Jeremy Fullingim's practice location on file with NPPES is 4500 S Garnett Rd, Tulsa, OK 74146-5229.
- What is Jeremy Fullingim's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Fullingim is (918) 599-5031.
- Does Jeremy Fullingim accept Medicare?
- Jeremy Fullingim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremy Fullingim's NPI active?
- Yes — Jeremy Fullingim's NPI (1255537304) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.