Active NPI 1669417242 Individual Practitioner Male Practitioner

Dr. Thomas Fullerton , MD

Surgery • Sioux Falls, SD

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Fullerton, MD is a registered healthcare professional specializing in Surgery in Sioux Falls, SD. Practice services are available at 1200 S 7TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include colorectal cancer screening; colonoscopy on individual at high risk, removal of polyps or growths of large bowel using an endoscope with mechanical snare, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 S 7th Ave
Ste 2

Sioux Falls, SD 571050998

Telephone 6053362140

Associated Practice Facility / Clinic

🏢 Avera Mckennan Facility NPI 1376575514

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sioux Falls, SD

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.4 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

39 Specialists

Practicing in Sioux Falls, SD (126 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

1.8% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$174.62	$171.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$240.61	$236.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	58	58	$177.83	$175.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$245.61	$243.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$177.95	$175.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$110.01	$79.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	58	58	$179.31	$179.08
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	49	$243.66	$243.66
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$185.44	$179.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$110.33	$81.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$123.54	$93.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$252.64	$254.96
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	38	38	$183.44	$183.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$183.49	$185.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$106.98	$72.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	60	60	$184.84	$181.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$242.09	$241.73
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	39	39	$184.70	$181.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$106.84	$74.31
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$72.60	$66.92
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$75.72	$49.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$258.81	$250.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	47	47	$183.84	$180.17
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	39	39	$184.30	$180.61
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$74.41	$48.98
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$83.55	$77.86
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$184.74	$181.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$105.60	$73.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	47	46	$185.03	$179.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$253.86	$247.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$184.75	$181.05
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$73.99	$48.92

Medical Specialties & State Licenses

CMS Verified: 2022-04-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SD 3691

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

36 Associated Practitioners

Dr. Michael Elliott , MD

Pediatrics

NPI 1013945310

Doctor of Medicine (M.D.)

Dr. April Beninga , DNP, FNP-C

Nurse Practitioner - Family

NPI 1083017560

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Dr. Ricky Kooima , MD

Pediatrics

NPI 1093750283

Doctor of Medicine (M.D.)

Dr. Tricia Knutson , MD

Family Medicine

NPI 1134157357

Doctor of Medicine (M.D.)

Dr. Michael Stassen , MD

Family Medicine

NPI 1144257775

Doctor of Medicine (M.D.)

Kimberly Barber

Nurse Practitioner - Family

NPI 1154462091

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address April 18, 2022

Registered at 1200 S 7TH AVE, SIOUX FALLS, SD 571050900 (Tel: 6055045400)

✅

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2012

Registered at 1200 S 7TH AVE, STE 2, SIOUX FALLS, SD 571050998 (Tel: 6053362140)

📍

Updated Business Mailing Address August 09, 2012

Registered at PO BOX 86430, SIOUX FALLS, SD 571186430 (Tel: 6053224900)

👤

Provider Name / Credentials Updated August 09, 2012

Recorded as THOMAS FULLERTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Surgery (License #3691 in SD)

🟢

Initial NPI Registration & Enumeration June 18, 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: 1669417242

Entity Type:

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

Enumeration Date: June 18, 2006

Last Update: April 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 S 7th Ave

Sioux Falls, SD 571050900

Phone: 6055045400

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.