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Matthew Paul Fuller , PA-C

Physician Assistant β€’ Boston, MA

Active NPI 1053030759 Individual Practitioner Male Practitioner
Practice location in NPPES

55 Fruit St
Boston, MA 021142696

Call 6177244100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142696

Telephone 6177244100
Fax 6177267415
Organization at the Same NPPES Address or Phone
Massachusetts General Hospital Facility NPI 1184613721

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Fuller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Fuller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boston and Massachusetts

1,694 active clinicians are listed under Physician Assistant with a practice address in Boston, MA (4,768 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

15.1% of these 1,694 clinicians have the CMS telehealth indicator.

56.2% of these 1,694 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA100048

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240122002932

Enrollment State Jurisdiction

MA

PECOS Control ID

0345692737

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
John Ahern , PA-C

Physician Assistant - Medical

NPI 1043682776

Physician Assistant (Certified)

Carly Ally , PA-C

Physician Assistant

NPI 1225372071

Physician Assistant (Certified)

Dr. Erik Antonsen , MD

Emergency Medicine

NPI 1972745461

Doctor of Medicine (M.D.)

Dr. Aderonke Bamgbose Pederson , MD

Psychiatry & Neurology - Psychiatry

NPI 1396139655

Doctor of Medicine (M.D.)

NPI 1013413301

Doctor of Medicine (M.D.)

NPI 1679563860

MDPHD

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 03, 2023

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6177244100)

πŸ‘€
Provider Name / Credentials Updated October 03, 2023

Recorded as MATTHEW FULLER, PA-C

βœ…
NPI Profile Active August 25, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 25, 2022

Registered at 360 HUNTINGTON AVE, BOSTON, MA 021155000 (Tel: 2077357023)

πŸ“
Business Mailing Address (Initial Record) August 25, 2022

Registered at 55 STATION LNDG APT 522W, MEDFORD, MA 021555055

πŸ‘€
Provider Name / Credentials (Initial Record) August 25, 2022

Recorded as MATTHEW FULLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 25, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053030759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2022
Last Update: October 03, 2023
Sole Proprietor: No

Other Physician Assistants in Boston

All Physician Assistants in Boston

Mailing Address

55 Station Lndg Apt 522w

Medford, MA 021555055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.