Michael Fullam, PA
NPI 1255599163 · Physician Assistant · Patchogue, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Fullam, PA is a Physician Assistant provider in Patchogue, NY (NPI 1255599163).
Provider details
- NPI number
- 1255599163
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 006268 (NY)
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 tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
466 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 91 | $71 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 81 | $8 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 77 | $14 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 71 | $127 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $123 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 935 | 347 |
| Metoprolol Succinate | 813 | 300 |
| Apixabanbrand: Eliquis | 722 | 256 |
| Rosuvastatin Calcium | 662 | 245 |
| Amlodipine Besylate | 383 | 162 |
| Losartan Potassium | 356 | 140 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-28
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Frequently asked questions
- What is Michael Fullam's NPI number?
- Michael Fullam's National Provider Identifier (NPI) is 1255599163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Fullam's specialty?
- Michael Fullam is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Fullam located?
- Michael Fullam's practice location on file with NPPES is 107 N Ocean Ave, Patchogue, NY 11772-2012.
- What is Michael Fullam's phone number?
- The practice phone number listed in the NPPES registry for Michael Fullam is (631) 654-5004.
- Does Michael Fullam accept Medicare?
- Michael Fullam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Fullam's NPI active?
- Yes — Michael Fullam's NPI (1255599163) is active in the NPPES registry as of the last update on 2021-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.