Active NPI 1871720300 Individual Practitioner Male Practitioner

Dr. Phillip Tyler Fuller , MD

Urology • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Fuller, MD is a certified Urology practicing in Ada, OK. With approximately 17 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2009, Dr. Fuller delivers high-quality medical care to the local community at 1414 ARLINGTON STREET.

Dr. Fuller is affiliated with Chickasaw Nation Division Of Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1414 Arlington Street
Suite 2300

Ada, OK 74820

Telephone 5803320112

Fax 5803321005

Associated Practice Facility / Clinic

🏢 Ada Medical Inc Facility NPI 1972050052

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Ada, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs Matches City Avg

City Avg: 17.0 Yrs

State Avg: 31.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Ada, OK (179 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (17 Years) 17 Yrs

Ada 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
99213 Established patient office or other outpatient visit, typically 15 minutes	136	104	$260.00	$61.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	47	$260.00	$89.76
52000 Diagnostic exam of bladder and urethra using an endoscope	23	19	$853.00	$71.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	103	$245.07	$60.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	39	$260.00	$92.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	82	$180.00	$63.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	28	$260.00	$93.50
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$180.00	$64.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	84	$179.74	$65.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	57	$260.00	$94.52
99442 Telephone medical discussion with physician, 11-20 minutes	57	46	$117.68	$65.27
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$180.00	$65.00
99443 Telephone medical discussion with physician, 21-30 minutes	30	30	$257.00	$93.92
52204 Biopsy of the bladder using an endoscope	20	19	$1741.50	$135.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	224	191	$5.44	$2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	174	$106.63	$101.86
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$179.00	$50.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$260.00	$77.37
99442 Telephone medical discussion with physician, 11-20 minutes	37	29	$108.00	$50.30
99443 Telephone medical discussion with physician, 21-30 minutes	33	33	$257.00	$77.40
52000 Diagnostic exam of bladder and urethra using an endoscope	20	20	$169.97	$163.77
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$106.14	$64.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$177.24	$156.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$215.08	$188.84
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	14	12	$65.05	$18.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,043	486	$5.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	849	446	$104.63	$101.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	156	156	$205.89	$197.34
52000 Diagnostic exam of bladder and urethra using an endoscope	66	55	$161.70	$157.78
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	55	22	$65.64	$18.37
50590 Shock wave crushing of kidney stones	42	34	$582.33	$559.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	23	$74.00	$67.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	20	$169.57	$132.36
76872 Ultrasound scan of pelvic region through rectum	22	21	$90.98	$90.19
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$70.04	$69.47
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	21	21	$190.48	$105.46
74420 Imaging of urinary tract	19	17	$17.44	$17.29
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	18	17	$44.35	$39.40
55700 Biopsy of prostate gland	18	18	$239.44	$237.10
64581 Incision to insert sacral nerve neurostimulator electrodes	17	16	$685.95	$601.11
51798 Ultrasound measurement of bladder capacity after voiding	17	17	$14.89	$11.50
64561 Insertion of sacral nerve neurostimulator electrode array	15	15	$345.79	$306.13
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$420.86	$357.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	908	456	$5.18	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	763	429	$103.91	$98.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	171	171	$201.38	$190.53
52000 Diagnostic exam of bladder and urethra using an endoscope	96	83	$156.24	$151.14
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	56	13	$160.35	$58.36
50590 Shock wave crushing of kidney stones	53	38	$594.43	$518.03
76000 Imaging guidance for procedure, 60 minutes or less	47	44	$39.17	$8.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	23	$71.99	$68.50
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$69.42	$67.07
74420 Imaging of urinary tract	33	33	$17.13	$16.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	22	$167.93	$121.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$131.75	$128.71
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	17	12	$65.59	$59.14
51798 Ultrasound measurement of bladder capacity after voiding	14	11	$16.79	$13.83
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$367.03	$213.31
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$747.45	$699.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$139.07	$133.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	870	462	$5.34	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	276	$105.05	$97.68
99213 Established patient office or other outpatient visit, typically 15 minutes	321	223	$70.77	$66.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	213	213	$202.34	$188.31
52000 Diagnostic exam of bladder and urethra using an endoscope	76	68	$157.78	$148.83
50590 Shock wave crushing of kidney stones	56	37	$601.81	$539.99
51798 Ultrasound measurement of bladder capacity after voiding	54	39	$17.90	$16.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	21	$73.23	$68.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	29	$342.70	$127.98
74420 Imaging of urinary tract	25	24	$17.71	$16.74
76000 Imaging guidance for procedure, 60 minutes or less	22	19	$32.18	$8.34
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$129.95	$95.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$138.47	$128.92
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$232.10	$223.87
55700 Biopsy of prostate gland	12	12	$234.24	$225.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$42.70	$38.86
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$839.02	$809.08
76872 Ultrasound scan of pelvic region through rectum	11	11	$88.41	$84.86

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OK 30483

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Chickasaw Nation Division Of Health

1921 Stonecipher Dr, Ada, OK 748203439

Phone: 5804363980

Practice Associates & Co-Workers

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

2 Associated Practitioners

Mark Leu , PA-C

Physician Assistant - Medical

NPI 1376538744

Physician Assistant (Certified)

Dr. Glen Diacon , MD

Specialist

NPI 1588659957

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 June 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2014

Registered at 1414 ARLINGTON STREET, SUITE 2300, ADA, OK 74820 (Tel: 5803320112)

📍

Updated Business Mailing Address June 25, 2014

Registered at 1414 ARLINGTON STREET, SUITE 2300, ADA, OK 74820 (Tel: 5803320112)

👤

Provider Name / Credentials Updated June 25, 2014

Recorded as PHILLIP FULLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Urology (License #30483 in OK)

🟢

Initial NPI Registration & Enumeration June 11, 2009

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: 1871720300

Entity Type:

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

Enumeration Date: June 11, 2009

Last Update: June 25, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1414 Arlington Street, Suite 2300

Ada, OK 74820

Phone: 5803320112

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.