Ithiel Loken Ames Fuller, MD
NPI 1821217746ActiveIndividual· Anesthesiology· Brattleboro, VT
Anesthesiology (MD) in Brattleboro, Vermont, trained at Virginia Commonwealth University, School of Medicine (class of 2005). Medicare paid $13,384 for services to 115 patients in 2024.
Overview
| NPI | 1821217746 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 67242 | CT |
| Anesthesiology | 207L00000X | 84251 | WI |
| Anesthesiology | 207L00000X | 0420011774 | VT |
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 - Anesthesiology (VT); Practitioner - Anesthesiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 115 |
|---|---|
| Services billed | 127 across 48 procedure codes |
| Paid by Medicare | $13,384 |
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Anesthesiology |
Medical group
- McHs Hospitals IncMarshfield, WI · 1,197 clinicians
Hospital affiliation
- Marshfield Medical Center - Eau ClaireEau Claire, WI
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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