Kevin S. Fuller, PA-C
NPI 1417119652ActiveIndividual· Physician Assistant· Fairfax, VA
Physician Assistant (PA-C) in Fairfax, Virginia, licensed in VA, with an NPI issued in June 2008. Mostly services rather than prescriptions: Medicare paid $624.14 for 12 patients in 2024, with only 31 Part D claims.
Overview
| NPI | 1417119652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 30, 2008 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110001208 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 12 across 6 procedure codes |
| Paid by Medicare | $624.14 |
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 37 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $232.47 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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