Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053030759 Individual Practitioner Male Practitioner

Matthew Paul Fuller , PA-C

Physician Assistant • Boston, MA

Professional Overview & Biography Verified Profile Summary

Matthew Fuller, PA-C is a registered healthcare professional specializing in Physician Assistant in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142696

Telephone 6177244100
Fax 6177267415
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1664 Specialists

Practicing in Boston, MA (4746 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA100048

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Meghan Dupre , NP

Nurse Practitioner - Family

NPI 1003206491

Nurse Practitioner

Sara Grosslein , PA

Physician Assistant

NPI 1003486499

Physician Assistant

NPI 1013413301

Doctor of Medicine (M.D.)

Evelyse Geffrard

Nurse Practitioner - Family

NPI 1013540400
Dr. Ashima Chadha , MD

Internal Medicine - Nephrology

NPI 1013595461

Doctor of Medicine (M.D.)

Natalie Miranda

Physician Assistant

NPI 1033722822

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6177244100)

👤
Provider Name / Credentials Updated October 03, 2023

Recorded as MATTHEW FULLER, PA-C

NPI Profile Active August 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2022

Registered at 360 HUNTINGTON AVE, BOSTON, MA 021155000 (Tel: 2077357023)

📍
Updated Business Mailing Address August 25, 2022

Registered at 55 STATION LNDG APT 522W, MEDFORD, MA 021555055

👤
Provider Name / Credentials Updated August 25, 2022

Recorded as MATTHEW FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 25, 2022

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: 1053030759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2022
Last Update: October 03, 2023
Sole Proprietor: No

Mailing Address

55 Station Lndg Apt 522w

Medford, MA 021555055

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.