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Active NPI 1124015102 Individual Practitioner Male Practitioner

Chuck B Fuller , PA-C

Physician Assistant • Twin Falls, ID

Professional Overview & Biography Verified Profile Summary

Chuck Fuller, PA-C is a registered healthcare professional specializing in Physician Assistant in Twin Falls, ID. Practice services are available at 660 SHOSHONE ST E under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

660 Shoshone St E
Suite 130

Twin Falls, ID 833016110

Telephone 2087323400
Fax 2087323300
Associated Practice Facility / Clinic
🏢 Donald G Pica Md Pa Facility NPI 1982641882

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Twin Falls, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
60 Specialists

Practicing in Twin Falls, ID (1261 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
91 66 $125.00 $71.24
99202 New patient office or other outpatient visit, typically 20 minutes
19 19 $125.00 $56.29

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-499

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Regence Blue Shield Ind #
000010147741 (ID)
Commercial Insurance / Payer ID Blue Cross Ind #
PAQR4 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1134169501

Doctor of Medicine (M.D.)

Dr. Robert Lobb , MD

Internal Medicine

NPI 1902847718

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2008

Registered at 660 SHOSHONE ST E, SUITE 130, TWIN FALLS, ID 833016110 (Tel: 2087323400)

📍
Updated Business Mailing Address January 10, 2008

Registered at 660 SHOSHONE ST E, SUITE 130, TWIN FALLS, ID 833016110 (Tel: 2087323400)

👤
Provider Name / Credentials Updated January 10, 2008

Recorded as CHUCK FULLER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2008

Physician Assistant (License #PA-499 in ID)

🟢
Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124015102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: January 10, 2008
Sole Proprietor: No

Mailing Address

660 Shoshone St E, Suite 130

Twin Falls, ID 833016110

Phone: 2087323400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.