Deactivated NPI 1932177482 Deactivated / Inactive NPI Male Practitioner

Dr. Robert P Fuller , MD

Specialist • Oak Ridge, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Fuller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 10, 2006

NPI Deactivation Date August 25, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fuller, MD was a registered Specialist practicing in Oak Ridge, TN. Throughout an active medical career spanning 16 years, Dr. Fuller provided care at the practice location at 800 OAK RIDGE TPKE until profile deactivation on 2022-08-25.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, destruction of skin growth, destruction of precancer skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

800 Oak Ridge Tpke
Suite A300

Oak Ridge, TN 378306957

Telephone 8654822129

Fax 8654824036

Associated Practice Facility / Clinic

🏢 Physiotherapy Associates Inc Facility NPI 1093753733

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Oak Ridge, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 52.5 Yrs

State Avg: 36.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Oak Ridge, TN (784 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.9% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	708	207	$30.00	$5.58
17000 Destruction of skin growth	243	241	$100.00	$53.56
17004 Destruction of precancer skin growth, 15 or more growths	89	88	$260.00	$147.28
17110 Destruction of up to 14 skin growths	74	74	$130.00	$102.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	67	$70.00	$41.69
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	52	47	$719.62	$580.30
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	36	36	$330.00	$137.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$55.00	$21.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	15	13	$415.00	$367.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,317	795	$30.00	$5.09
17000 Destruction of skin growth	1,251	910	$100.00	$56.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	495	402	$70.00	$41.78
17004 Destruction of precancer skin growth, 15 or more growths	477	310	$258.09	$139.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	300	267	$699.75	$575.97
88305 Pathology examination of tissue using a microscope, intermediate complexity	271	196	$40.00	$37.48
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	190	189	$330.00	$140.35
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	100	79	$408.90	$361.32
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	95	81	$230.00	$179.20
17110 Destruction of up to 14 skin growths	69	65	$130.00	$92.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	69	53	$195.00	$141.91
11102 Tangential biopsy of single skin lesion	57	55	$107.72	$84.13
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	44	38	$205.00	$157.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	15	$10.00	$1.49
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$85.00	$52.55
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	28	27	$199.64	$156.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	28	$345.00	$147.97
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$95.00	$59.61
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	25	25	$284.80	$117.52
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	24	23	$332.92	$162.25
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	13	$610.00	$452.73
88304 Pathology examination of tissue using a microscope, moderately low complexity	13	13	$30.00	$14.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,343	830	$30.00	$4.60
17000 Destruction of skin growth	1,339	976	$100.00	$53.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	427	363	$70.00	$39.32
88305 Pathology examination of tissue using a microscope, intermediate complexity	348	237	$40.00	$36.16
17004 Destruction of precancer skin growth, 15 or more growths	313	225	$250.00	$128.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	294	258	$664.20	$539.26
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	157	157	$327.48	$130.82
17110 Destruction of up to 14 skin growths	138	123	$130.00	$94.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	117	90	$389.66	$344.38
11100 Biopsy of single growth of skin and/or tissue	95	88	$115.00	$81.47
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	65	57	$230.00	$176.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	62	49	$192.42	$138.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	45	38	$187.56	$146.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	12	$10.00	$1.76
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	36	14	$110.00	$67.34
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	32	$205.00	$156.38
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	32	32	$280.00	$110.98
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	32	31	$325.00	$153.38
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$85.00	$55.84
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$95.00	$58.71
88304 Pathology examination of tissue using a microscope, moderately low complexity	24	18	$30.00	$11.06
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	20	$160.00	$114.36
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$70.00	$39.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$345.00	$140.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,380	924	$30.00	$5.07
17000 Destruction of skin growth	1,531	1,091	$100.00	$55.76
88305 Pathology examination of tissue using a microscope, intermediate complexity	349	239	$40.00	$37.47
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	298	263	$652.68	$560.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	283	242	$70.00	$40.41
17004 Destruction of precancer skin growth, 15 or more growths	207	145	$250.00	$136.50
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	151	147	$317.12	$134.92
17110 Destruction of up to 14 skin growths	136	115	$119.04	$96.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	112	93	$385.00	$352.74
11100 Biopsy of single growth of skin and/or tissue	95	93	$115.00	$88.71
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	64	63	$273.91	$114.47
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	50	41	$185.00	$143.93
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	49	45	$230.00	$180.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	38	36	$181.84	$151.63
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$85.00	$57.83
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$95.00	$65.63
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	21	$153.04	$109.55
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	21	$205.00	$156.14
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	22	13	$110.00	$73.82
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	14	$180.00	$119.34
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	21	21	$325.00	$158.16
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	15	$30.00	$11.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$345.00	$138.76
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	14	12	$150.71	$124.75
11101 Biopsy of each additional growth of skin and/or tissue	13	11	$65.00	$30.23
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$176.54	$144.18
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$270.00	$220.21
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$70.00	$40.73
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$235.00	$227.58

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD0000018848

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Evgeniya Teterina Mohammed , MD

Dermatology

NPI 1255865234

Doctor of Medicine (M.D.)

Jerry Allen , NP

Nurse Practitioner

NPI 1285884429

Nurse Practitioner

Dr. Leland Smith , MD

Dermatology

NPI 1508084807

Doctor of Medicine (M.D.)

Emily Hairfield , PA

Physician Assistant - Medical

NPI 1518404573

Physician Assistant

Andrew Morgan , PA

Physician Assistant

NPI 1558339002

Physician Assistant

Jerrin Levy , PA-C

Physician Assistant - Medical

NPI 1588021356

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated August 25, 2022

Record deactivated on August 25, 2022

✅

NPI Profile Active September 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2007

Registered at 800 OAK RIDGE TPKE, SUITE A300, OAK RIDGE, TN 378306957 (Tel: 8654822129)

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Updated Business Mailing Address September 19, 2007

Registered at 800 OAK RIDGE TPKE, SUITE A300, OAK RIDGE, TN 378306957 (Tel: 8654822129)

👤

Provider Name / Credentials Updated September 19, 2007

Recorded as ROBERT FULLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2007

Specialist (License #MD0000018848 in TN)

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Initial NPI Registration & Enumeration March 10, 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: 1932177482

Entity Type:

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

Enumeration Date: March 10, 2006

Last Update: September 19, 2007

Deactivation Date: August 25, 2022

Update or Correct Profile

Mailing Address

800 Oak Ridge Tpke, Suite A300

Oak Ridge, TN 378306957

Phone: 8654822129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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