Michael John Fullam, PA
NPI 1255599163ActiveIndividual· Physician Assistant· Patchogue, NY
Physician Assistant (PA) with New York University, practicing in Patchogue, New York. Their prescriptions cost Medicare Part D more than their services did: $1,716,136 for 8,781 claims, against $23,473 paid for services in 2024. Lantheus Medical Imaging, Inc. reported $24.04 in payments in 2025, mostly food and beverage. Lists Suny/Stony Brook University Hospital as a hospital affiliation.
Overview
| NPI | 1255599163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 28, 2008 |
| Last updated in NPPES | Feb 25, 2021 |
| Certified by provider | Feb 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 006268 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 534 across 31 procedure codes |
| Paid by Medicare | $23,473 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,781 · 23,750 30-day fills |
|---|---|
| Patients | 2,130 |
| Total drug cost | $1,716,136 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- New York UniversityNew York, NY · 6,134 clinicians
Hospital affiliation
- Suny/Stony Brook University HospitalStony Brook, NY
Industry payments (Open Payments)
- 2025$24.04 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lantheus Medical Imaging, Inc. | $24.04 | 1 |
What the 2025 payments were for
- Food and Beverage$24.04 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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