Larry Fuller, STUDENT
NPI 1912360421 · Diagnostic Radiology Physician · Gainesville, FL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Fuller, STUDENT is a Diagnostic Radiology Physician provider in Gainesville, FL (NPI 1912360421).
Provider details
- NPI number
- 1912360421
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- STUDENT
- Sex
- Male
- Sole proprietor
- No
- License
- 0102209072 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
4,226 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 | 738 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 342 | $38 |
| Screening Mammography77067 | 165 | $126 |
| Screening 3d Breast Mammography77063 | 164 | $52 |
| Ct Scan of Abdomen and Pelvis Without Contrast74176 | 141 | $80 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 136 | $84 |
Practice location
Mailing address
Additional practice locations (3)
- 743 Spring St NeGainesville, GA 30501-3715Phone: (770) 271-9000
- 500 University DrPenn State Health Milton S. Hershey Medical CenterHershey, PA 17033-2360Phone: (800) 243-1455
- 2300 Opitz BlvdWoodbridge, VA 22191-3311Phone: (703) 523-1199
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Larry Fuller's NPI number?
- Larry Fuller's National Provider Identifier (NPI) is 1912360421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Fuller's specialty?
- Larry Fuller is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Larry Fuller located?
- Larry Fuller's practice location on file with NPPES is 1600 Sw Archer Rd, Gainesville, FL 32610-2360.
- What is Larry Fuller's phone number?
- The practice phone number listed in the NPPES registry for Larry Fuller is (352) 265-0291.
- Does Larry Fuller accept Medicare?
- Larry Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Fuller's NPI active?
- Yes — Larry Fuller's NPI (1912360421) is active in the NPPES registry as of the last update on 2025-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.