Active NPI 1649569484 Individual Practitioner Male Practitioner

Dr. Sam Fuller , MD

Surgery - Plastic and Reconstructive Surgery • South Bend, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sam Fuller, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in South Bend, IN. With approximately 17 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 2009, Dr. Fuller delivers high-quality medical care to the local community at 53880 CARMICHAEL DR.

Dr. Fuller is affiliated with Central Indiana Orthopedics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

53880 Carmichael Dr

South Bend, IN 466351567

Telephone 5742479441

Fax 5742479442

Associated Practice Facility / Clinic

🏢 Northern Brace Company Inc Facility NPI 1790743821

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in South Bend, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs Matches City Avg

City Avg: 17.0 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

1 Specialists

Practicing in South Bend, IN (48 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (17 Years) 17 Yrs

South Bend Specialty Average (17.0 Years) 17.0 Yrs

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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	289	96	$18.00	$0.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$321.00	$155.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	113	$202.00	$118.48
99213 Established patient office or other outpatient visit, typically 15 minutes	88	66	$144.00	$84.80
20550 Injection into tendon or ligament	75	54	$202.00	$48.77
73130 X-ray of hand, minimum of 3 views	63	55	$177.78	$43.48
20600 Aspiration and/or injection of fluid from small joint	46	40	$265.50	$53.47
73110 X-ray of wrist, minimum of 3 views	44	28	$141.86	$36.51
29848 Release of wrist ligament using an endoscope	34	28	$3521.62	$400.46
26055 Incision of tendon covering	28	20	$1790.00	$203.29
73140 X-ray of finger, minimum of 2 views	25	15	$121.00	$34.82
29075 Application of elbow to finger cast	18	12	$275.00	$81.58
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	17	12	$63.00	$23.36
25447 Removal of bone joints between wrist and fingers	15	15	$4016.00	$767.10
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	12	$760.00	$152.66
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$214.00	$49.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$103.00	$52.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$743.08	$85.16
26480 Transplant of tendon of hand, without graft	12	12	$3026.00	$363.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	376	81	$14.21	$1.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$310.04	$154.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	102	$191.55	$119.52
99213 Established patient office or other outpatient visit, typically 15 minutes	105	69	$158.32	$83.80
20550 Injection into tendon or ligament	68	51	$239.06	$50.07
73110 X-ray of wrist, minimum of 3 views	53	24	$167.21	$40.24
29848 Release of wrist ligament using an endoscope	52	44	$3204.81	$432.23
26055 Incision of tendon covering	38	20	$2486.32	$187.16
20600 Aspiration and/or injection of fluid from small joint	35	30	$297.00	$50.87
73130 X-ray of hand, minimum of 3 views	24	20	$173.08	$37.68
73140 X-ray of finger, minimum of 2 views	24	12	$116.63	$35.20
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	22	17	$42.95	$22.79
29075 Application of elbow to finger cast	19	15	$308.16	$81.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$215.76	$104.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	473	80	$14.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	108	$190.00	$118.14
99213 Established patient office or other outpatient visit, typically 15 minutes	106	76	$147.55	$83.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$308.00	$154.23
20550 Injection into tendon or ligament	75	51	$247.00	$47.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$215.00	$105.09
73110 X-ray of wrist, minimum of 3 views	47	26	$160.00	$38.19
73130 X-ray of hand, minimum of 3 views	40	26	$176.63	$35.84
20600 Aspiration and/or injection of fluid from small joint	30	27	$312.00	$50.40
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	26	18	$42.00	$20.29
29075 Application of elbow to finger cast	24	17	$310.00	$76.15
29848 Release of wrist ligament using an endoscope	22	20	$3220.00	$422.19
73140 X-ray of finger, minimum of 2 views	20	15	$116.00	$34.96
26055 Incision of tendon covering	18	12	$2770.00	$203.18
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	13	13	$39.00	$13.19
29125 Application of nonmoveable forearm to hand splint	13	13	$215.00	$60.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$99.00	$52.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	437	85	$14.00	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	109	$190.00	$121.21
99213 Established patient office or other outpatient visit, typically 15 minutes	124	86	$130.00	$83.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$308.00	$155.78
73110 X-ray of wrist, minimum of 3 views	77	42	$162.08	$36.86
20550 Injection into tendon or ligament	62	51	$247.00	$49.77
29848 Release of wrist ligament using an endoscope	34	29	$3170.59	$404.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$215.00	$105.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$99.00	$52.87
20600 Aspiration and/or injection of fluid from small joint	29	26	$286.90	$46.85
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	28	18	$42.00	$20.40
29075 Application of elbow to finger cast	27	18	$310.00	$80.18
73140 X-ray of finger, minimum of 2 views	22	15	$116.00	$34.38
73130 X-ray of hand, minimum of 3 views	17	16	$184.71	$37.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	487	91	$36.92	$1.41
99213 Established patient office or other outpatient visit, typically 15 minutes	260	168	$130.00	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	179	179	$215.00	$101.21
73110 X-ray of wrist, minimum of 3 views	74	43	$164.32	$36.86
20550 Injection into tendon or ligament	72	54	$247.00	$47.25
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	34	23	$42.00	$20.16
73140 X-ray of finger, minimum of 2 views	30	22	$116.00	$32.86
29075 Application of elbow to finger cast	29	21	$310.00	$79.84
29848 Release of wrist ligament using an endoscope	27	23	$3080.00	$454.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$190.00	$103.30
20600 Aspiration and/or injection of fluid from small joint	25	22	$301.60	$50.63
73130 X-ray of hand, minimum of 3 views	23	19	$170.65	$35.06
29125 Application of nonmoveable forearm to hand splint	16	16	$215.00	$59.75
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	16	16	$39.00	$12.61
26055 Incision of tendon covering	16	11	$2770.00	$194.55
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$290.36	$49.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	343	200	$130.00	$69.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	195	195	$215.00	$100.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	146	102	$54.00	$1.58
73110 X-ray of wrist, minimum of 3 views	94	50	$156.52	$32.88
20600 Aspiration and/or injection of fluid from small joint	64	51	$312.81	$48.92
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	58	37	$42.00	$19.72
20550 Injection into tendon or ligament	58	43	$247.00	$46.33
29075 Application of elbow to finger cast	48	31	$316.46	$80.72
73130 X-ray of hand, minimum of 3 views	43	32	$164.30	$32.19
29848 Release of wrist ligament using an endoscope	33	26	$3080.00	$390.95
73140 X-ray of finger, minimum of 2 views	26	14	$116.00	$30.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$99.00	$42.12
29125 Application of nonmoveable forearm to hand splint	14	13	$215.00	$59.74
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	14	13	$39.00	$12.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	126	$130.00	$68.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	82	$50.43	$1.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$215.00	$100.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	71	$99.00	$41.09
73110 X-ray of wrist, minimum of 3 views	88	48	$160.58	$32.46
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	64	40	$42.00	$19.28
29075 Application of elbow to finger cast	62	38	$310.00	$80.80
20550 Injection into tendon or ligament	51	40	$247.00	$46.84
73130 X-ray of hand, minimum of 3 views	41	30	$176.15	$33.03
73140 X-ray of finger, minimum of 2 views	37	25	$116.00	$29.66
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	37	29	$39.00	$12.06
29125 Application of nonmoveable forearm to hand splint	36	29	$215.00	$60.81
20600 Aspiration and/or injection of fluid from small joint	33	28	$307.27	$46.61
73221 Mri scan of arm joint without contrast	17	17	$1612.47	$150.25
29848 Release of wrist ligament using an endoscope	15	13	$3285.33	$459.39
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$271.00	$47.30
73721 Mri scan of leg joint without contrast	11	11	$1159.00	$155.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$214.96	$98.59
99213 Established patient office or other outpatient visit, typically 15 minutes	139	102	$129.00	$67.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	91	59	$47.41	$1.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	67	$93.00	$40.38
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	73	40	$88.00	$21.26
73110 X-ray of wrist, minimum of 3 views	62	39	$228.79	$33.01
20550 Injection into tendon or ligament	42	32	$239.00	$45.44
73140 X-ray of finger, minimum of 2 views	37	29	$201.00	$29.02
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	34	29	$50.00	$19.11
73130 X-ray of hand, minimum of 3 views	33	26	$217.52	$31.90
29075 Application of elbow to finger cast	32	27	$290.00	$79.14
97140 Therapy procedure using manual technique, each 15 minutes	28	13	$88.00	$15.21
73221 Mri scan of arm joint without contrast	28	26	$1633.00	$150.89
72148 MRI scan of lower spinal canal	24	24	$1685.00	$142.31
73721 Mri scan of leg joint without contrast	24	24	$1476.00	$159.58
20605 Aspiration and/or injection of medium joint or joint capsule	22	18	$263.45	$46.25
20600 Aspiration and/or injection of fluid from small joint	21	17	$265.05	$45.11
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	18	16	$26.00	$11.94
29848 Release of wrist ligament using an endoscope	18	15	$2739.17	$434.31
29125 Application of nonmoveable forearm to hand splint	17	16	$179.00	$60.44
26055 Incision of tendon covering	12	11	$2731.00	$239.88

Medical Specialties & State Licenses

CMS Verified: 2024-09-03

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IN 01075560A

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License IN 01075560A

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Hospital & Practice Group Affiliations

Central Indiana Orthopedics Llc

3600 W Bethel Ave, Muncie, IN 473045407

Phone: 7652847738

Central Indiana Orthopedics Llc

60160 Bodnar Blvd, Mishawaka, IN 465449338

Phone: 5742479441

Central Indiana Orthopedics Llc

303 S Nappanee St, Elkhart, IN 465142066

Phone: 5742479441

Central Indiana Orthopedics Llc

53880 Carmichael Dr, South Bend, IN 466351567

Phone: 3174551064

Secondary Practice Locations

60160 Bodnar Blvd

Mishawaka, IN 465449338

Phone: 5742479441

303 S Nappanee St Ste F

Elkhart, IN 465142066

Phone: 5742479441

2349 Lake Ave Ste 201

Plymouth, IN 465637837

Phone: 5742479441

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. David Speach , MD

Physical Medicine & Rehabilitation

NPI 1003850660

Doctor of Medicine (M.D.)

Melanie Daggy , PTA

Physical Therapy Assistant

NPI 1023628005

Physical Therapist Assistant

Jessica Preissing , PT

Physical Therapist

NPI 1053469577

Physical Therapist

Cami Kistenfeger , MPAS, PA-C

Physician Assistant

NPI 1053620930

MPAS, Physician Assistant (Certified)

Dr. John Mihay , PT, DPT

Physical Therapist

NPI 1063748630

Physical Therapist, Doctor of Physical Therapy

Carolyn Barbus , PA-C

Physician Assistant

NPI 1073733051

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Surgery (License #01075560A in IN)

📍

Updated Business Mailing Address November 15, 2023

Registered at 3600 W BETHEL AVE, MUNCIE, IN 473045407

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Surgery (License #01075560A in IN)

✅

NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2016

Registered at 53880 CARMICHAEL DR, SOUTH BEND, IN 466351567 (Tel: 5742479441)

📍

Updated Business Mailing Address December 12, 2016

Registered at 53880 CARMICHAEL DR, SOUTH BEND, IN 466351567 (Tel: 5742479441)

👤

Provider Name / Credentials Updated December 12, 2016

Recorded as SAM FULLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Surgery (License #01075560A in IN)

🟢

Initial NPI Registration & Enumeration April 01, 2011

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: 1649569484

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 01, 2011

Last Update: September 03, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 W Bethel Ave

Muncie, IN 473045407

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.