Active NPI 1558306209 Individual Practitioner Female Practitioner

Maureen Pendergast Fuller , PA

Physician Assistant • Ware, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maureen Fuller, PA is a certified Physician Assistant practicing in Ware, MA. With approximately 25 years of clinical experience since completing medical education in 2001, Maureen Fuller delivers high-quality medical care to the local community at 85 SOUTH ST.

Maureen Fuller is affiliated with New England Wound Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

85 South St

Ware, MA 010821625

Telephone 4139672268

Fax 4139672548

Associated Practice Facility / Clinic

🏢 Baystate Mary Lane Hospital Corporation Facility NPI 1144221847

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ware, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Ware, MA (4746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (25 Years) 25 Yrs

Ware Specialty Average (18.5 Years) 18.5 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
11042 Removal of skin and tissue, 20.0 sq cm or less	351	94	$256.35	$50.17
99213 Established patient office or other outpatient visit, typically 15 minutes	136	73	$208.00	$55.38
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	113	18	$110.00	$20.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	54	$321.00	$81.75
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	54	35	$64.00	$13.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$544.25	$112.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$104.00	$29.63
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	40	12	$349.00	$70.28
97597 Removal of tissue from wound, 20.0 sq cm or less	31	23	$160.00	$29.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	564	143	$254.00	$50.75
99213 Established patient office or other outpatient visit, typically 15 minutes	232	116	$208.00	$56.52
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	222	32	$110.00	$21.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	88	$321.00	$83.53
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	78	19	$395.00	$79.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$525.00	$114.09
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	64	18	$349.00	$66.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	57	$104.00	$30.39
97597 Removal of tissue from wound, 20.0 sq cm or less	58	44	$152.64	$30.31
11044 Removal of bone, 20.0 sq cm or less	35	19	$949.00	$191.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$310.00	$69.84
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$413.00	$71.07
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	14	$642.00	$127.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	394	107	$254.00	$51.87
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	317	22	$110.00	$22.67
99213 Established patient office or other outpatient visit, typically 15 minutes	279	121	$208.00	$58.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	70	$321.00	$85.79
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	89	17	$395.00	$81.78
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	81	17	$349.00	$70.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$525.00	$118.03
97597 Removal of tissue from wound, 20.0 sq cm or less	53	38	$99.00	$31.56
11042 Removal of skin and tissue, 20.0 sq cm or less	37	26	$254.00	$51.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$296.00	$61.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$310.00	$72.91
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$208.00	$57.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	14	$321.00	$85.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$104.00	$31.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	372	105	$254.00	$51.19
99213 Established patient office or other outpatient visit, typically 15 minutes	336	132	$208.00	$59.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	68	$250.92	$87.73
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	119	22	$395.00	$82.74
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	118	20	$349.00	$72.85
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	110	17	$110.00	$23.13
97597 Removal of tissue from wound, 20.0 sq cm or less	75	47	$99.00	$31.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$525.00	$119.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$310.00	$73.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	17	$296.00	$62.73
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	16	11	$642.00	$136.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	77	31	$254.00	$55.08
99213 Established patient office or other outpatient visit, typically 15 minutes	60	33	$208.00	$45.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	24	$168.00	$63.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$89.00	$34.59
99239 Hospital discharge day management, more than 30 minutes	19	19	$245.00	$94.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$208.00	$70.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$310.00	$67.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	146	$160.53	$63.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	78	$86.49	$34.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	77	$438.43	$178.02
99239 Hospital discharge day management, more than 30 minutes	72	70	$239.60	$94.42
99238 Hospital discharge day management, 30 minutes or less	62	62	$163.82	$63.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	401	224	$83.00	$34.50
99239 Hospital discharge day management, more than 30 minutes	88	88	$214.00	$95.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	64	$137.00	$64.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	75	$372.99	$178.94
99238 Hospital discharge day management, 30 minutes or less	67	66	$163.00	$64.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	414	211	$83.00	$33.84
99238 Hospital discharge day management, 30 minutes or less	82	80	$163.00	$63.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	63	$372.00	$176.02
99239 Hospital discharge day management, more than 30 minutes	47	46	$214.00	$93.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	35	$137.00	$62.72

Medical Specialties & State Licenses

CMS Verified: 2020-09-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 1366

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 Bcbs

M15170 (MA)

Hospital & Practice Group Affiliations

New England Wound Care Llc

7 Burnham St, Turners Falls, MA 013761842

Phone: 4134753233

New England Wound Care Llc

94 N Elm St, Westfield, MA 010851657

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Richard Romano , MD

Emergency Medicine

NPI 1083741896

Doctor of Medicine (M.D.)

Dr. George Grillo , MD

Family Medicine

NPI 1104813666

Doctor of Medicine (M.D.)

Dr. David Andrewes , MD

Emergency Medicine

NPI 1275649188

Doctor of Medicine (M.D.)

Anzhela Savonina , FNP-C

Nurse Practitioner

NPI 1316429095

Family Nurse Practitioner (Certified)

Dr. David Miller , MD

Emergency Medicine

NPI 1356478168

Doctor of Medicine (M.D.)

Dr. Roger Lafleur , MD

Emergency Medicine

NPI 1477691046

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 10, 2020

Registered at 85 SOUTH ST, WARE, MA 010821625 (Tel: 4139672268)

📍

Updated Business Mailing Address September 10, 2020

Registered at 5220 BELFORT RD STE 130, JACKSONVILLE, FL 322566018 (Tel: 9044463686)

👤

Provider Name / Credentials Updated September 10, 2020

Recorded as MAUREEN FULLER, P.A.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 233 CAREW ST, SPRINGFIELD, MA 011042377 (Tel: 4137486800)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1275 ELM ST, WEST SPRINGFIELD, MA 010891820 (Tel: 4137851153)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MAUREEN PENDERGAST FULLER, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1366 in MA)

🟢

Initial NPI Registration & Enumeration June 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558306209

Entity Type:

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

Enumeration Date: June 17, 2006

Last Update: September 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5220 Belfort Rd Ste 130

Jacksonville, FL 322566018

Phone: 9044463686

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.