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Active NPI 1487961231 Individual Practitioner Female Practitioner

Traci Ann Fuller , PA

Physician Assistant - Surgical • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Traci Fuller, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Cincinnati, OH. Practice services are available at 6480 HARRISON AVE under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 40 mg, injection, ropivacaine hydrochloride, 1 mg, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6480 Harrison Ave
Suite 100

Cincinnati, OH 452477961

Telephone 5133543700
Fax 5133547651
Associated Practice Facility / Clinic
🏢 The Therapy Source, Inc. Facility NPI 1568457638

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Cincinnati, OH (403 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.3% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg
60 15 $16.00 $6.70
J2795 Injection, ropivacaine hydrochloride, 1 mg
51 12 $1.00 $0.07
27447 Replacement of knee joint, both sides of knee
24 24 $1118.00 $182.76
20610 Aspiration and/or injection of fluid from large joint
18 18 $242.78 $54.77

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50003781

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License GA 006385

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License GA 006385

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
50003781 (OH)
Commercial Insurance / Payer ID State Medical License
006385 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. David Sower , MD

Emergency Medicine - Sports Medicine

NPI 1003817453

Doctor of Medicine (M.D.)

Dr. Maria Rodenberg , MD

Orthopaedic Surgery

NPI 1013401645

Doctor of Medicine (M.D.)

Dr. Ronald Hess , DO

Orthopaedic Surgery

NPI 1023018348

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Rohmiller , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1023048352

Doctor of Medicine (M.D.)

Dr. Haleem Chaudhary , MD

Orthopaedic Surgery

NPI 1033177282

Doctor of Medicine (M.D.)

Ellen Iaciofano , PA-C

Physician Assistant

NPI 1033677398

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2013

Registered at 6480 HARRISON AVE, SUITE 100, CINCINNATI, OH 452477961 (Tel: 5133543700)

📍
Updated Business Mailing Address June 21, 2013

Registered at 6480 HARRISON AVE, SUITE 100, CINCINNATI, OH 452477961 (Tel: 5133543700)

👤
Provider Name / Credentials Updated June 21, 2013

Recorded as TRACI FULLER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Physician Assistant (License #006385 in GA)

🟢
Initial NPI Registration & Enumeration August 31, 2010

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: 1487961231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2010
Last Update: June 21, 2013
Sole Proprietor: No

Mailing Address

6480 Harrison Ave, Suite 100

Cincinnati, OH 452477961

Phone: 5133543700

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.