Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134451529 Individual Practitioner Male Practitioner

Dr. Thomas Owen Fullmer , DC

Chiropractor • Providence, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Fullmer, DC is a certified Chiropractor practicing in Providence, UT. With approximately 17 years of clinical experience since graduating from Western States College Of Chiropractic in 2009, Dr. Fullmer delivers high-quality medical care to the local community at 1652 S HIGHWAY 165.

Dr. Fullmer accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1652 S Highway 165

Providence, UT 843326701

Telephone 4357525522
Fax 4357523075
Associated Practice Facility / Clinic
🏢 South Valley Pharmacy Facility NPI 1750564514

Medicare Profile & Education

Medical School

Western States College Of Chiropractic

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Providence, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -6.8 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Providence, UT (942 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fullmer (17 Years) 17 Yrs
Providence Specialty Average (23.8 Years) 23.8 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
86 21 $73.46 $37.59

Medical Specialties & State Licenses

CMS Verified: 2024-04-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License UT 7563542-1202

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1497922835

Doctor of Chiropractic, PC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2014

Registered at 1652 S HIGHWAY 165, PROVIDENCE, UT 843326701 (Tel: 4357525522)

📍
Updated Business Mailing Address September 10, 2014

Registered at 1652 S HIGHWAY 165, PROVIDENCE, UT 843326701 (Tel: 4357525522)

👤
Provider Name / Credentials Updated September 10, 2014

Recorded as THOMAS FULLMER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2014

Chiropractor (License #7563542-1202 in UT)

🟢
Initial NPI Registration & Enumeration February 09, 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: 1134451529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: April 18, 2024
Sole Proprietor: Yes

Mailing Address

1652 S Highway 165

Providence, UT 843326701

Phone: 4357525522

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.