Active NPI 1043255821 Individual Practitioner Male Practitioner

Karl R Fuller , PA

Physician Assistant • West Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Karl Fuller, PA is a certified Physician Assistant practicing in West Springfield, MA. With approximately 27 years of clinical experience since completing medical education in 1999, Karl Fuller delivers high-quality medical care to the local community at 1275 ELM ST.

Karl Fuller is affiliated with Pioneer Spine And Sports Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new 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

1275 Elm St

West Springfield, MA 010891820

Telephone 4137851153

Fax 4137814951

Associated Practice Facility / Clinic

🏢 Trustees Of Tufts University Facility NPI 1508206012

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +12.3 yrs vs City Avg

City Avg: 14.7 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

26 Specialists

Practicing in West Springfield, MA (4746 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (27 Years) 27 Yrs

West Springfield Specialty Average (14.7 Years) 14.7 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$529.85	$145.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$192.55	$66.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$402.00	$144.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$459.00	$148.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$459.00	$171.41
99239 Hospital discharge day management, more than 30 minutes	11	11	$245.00	$91.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$459.00	$174.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$459.00	$179.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$367.85	$144.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$290.93	$95.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$436.94	$177.89
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$166.83	$65.90
99238 Hospital discharge day management, 30 minutes or less	12	12	$164.25	$64.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$355.00	$146.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$372.00	$178.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$288.00	$94.00
99238 Hospital discharge day management, 30 minutes or less	19	19	$163.00	$64.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$244.00	$95.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$355.00	$142.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$372.00	$176.03
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$165.00	$64.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$288.00	$94.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$244.00	$95.09
99239 Hospital discharge day management, more than 30 minutes	11	11	$214.00	$93.81

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 1110

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

Pioneer Spine And Sports Physicians Pc

766 N King St, Northampton, MA 010601142

Phone: 4137851153

Pioneer Spine And Sports Physicians Pc

271 Park St, West Springfield, MA 010893311

Phone: 4137851153

Practice Associates & Co-Workers

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

30 Associated Practitioners

Curt Loud , PA-C

Physician Assistant - Medical

NPI 1093806234

Physician Assistant (Certified)

Dr. Bethany Calabrese , DO

Physical Medicine & Rehabilitation

NPI 1134573694

Doctor of Osteopathic Medicine (D.O.)

Geoff Elia , PT

Physical Therapist

NPI 1184817546

Physical Therapist

Rosemarie Roy , PT

Physical Therapist

NPI 1205862034

Physical Therapist

Dr. Douglas Molin , MD

Physical Medicine & Rehabilitation

NPI 1235115494

Doctor of Medicine (M.D.)

Dr. Scott Cooper , MD

Physical Medicine & Rehabilitation

NPI 1235175530

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

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

📍

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 KARL FULLER, P.A.

🎓

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

Physician Assistant (License #1110 in MA)

🟢

Initial NPI Registration & Enumeration June 17, 2006

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: 1043255821

Entity Type:

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

Enumeration Date: June 17, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1275 Elm St

West Springfield, MA 010891820

Phone: 4137851153

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.