Larry Chad Fuller, STUDENT
NPI 1912360421ActiveIndividual· Radiology, Diagnostic Radiology· Gainesville, FL
Radiology, Diagnostic Radiology (STUDENT) with Sentara Medical Group and 11 other groups, practicing in Gainesville, Florida. Medicare paid $295,395 for services to 3,543 patients in 2024. Lists Adventhealth Ocala and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1912360421 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | STUDENT |
| Sole proprietor | No |
| NPI issued | Apr 1, 2016 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | OS17722 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 0102209072 | VA |
| Radiology, Diagnostic Radiology | 2085R0202X | 1322733 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (GA); Practitioner - Diagnostic Radiology (SC); Practitioner - Diagnostic Radiology (VI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,543 |
|---|---|
| Services billed | 17,635 across 205 procedure codes |
| Paid by Medicare | $295,395 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Sentara Medical GroupNorfolk, VA · 1,408 clinicians
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
- St Francis Physician Practices LLCColumbus, GA · 222 clinicians
- Radiology Imaging Associates LLCPonte Vedra, FL · 190 clinicians
- Danville Physician Practices LLCAmissville, VA · 177 clinicians
- East Cooper Physician Group LLCMount Pleasant, SC · 136 clinicians
- Dlp Twin County Physician Practices LLCAmissville, VA · 118 clinicians
- Inverness Medical Imaging LLCInverness, FL · 84 clinicians
- St Thomas Radiology Associates LLCPonte Vedra, FL · 74 clinicians
- Medical Imaging Center of Ocala LLPPonte Vedra, FL · 49 clinicians
- Timberridge Imaging CenterPonte Vedra, FL · 48 clinicians
- Ocala Health Imaging Services LLCOcala, FL · 47 clinicians
Hospital affiliations
- Adventhealth OcalaOcala, FL
- Marion Communtiy HospitalOcala, FL
- Northeast Georgia Medical Center, IncGainesville, GA
- Sentara Northern Virginia Medical CenterWoodbridge, VA
- Tampa General Hospital Crystal RiverCrystal River, FL
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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