Timothy Richard Fullam, M.D.
NPI 1952720104ActiveIndividual· Psychiatry & Neurology, Neuromuscular Medicine· Phoenix, AZ
Psychiatry & Neurology, Neuromuscular Medicine (M.D.) in Phoenix, Arizona, trained at Pennsylvania State University College of Medicine (class of 2014). 47 Medicare patients in 2024, $7,174 paid; nearly all of their 55 Part D prescriptions were generic (98%).
Overview
| NPI | 1952720104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Feb 5, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neuromuscular Medicine Primary | 2084N0008X | 73815 | AZ |
| Psychiatry & Neurology, Neuromuscular Medicine | 2084N0008X | T1068 | TX |
| Psychiatry & Neurology, Neurology | 2084N0400X | T1068 | TX |
| General Practice | 208D00000X | 28833 | NE |
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 - Neurology (AZ); Practitioner - Neurology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 76 across 7 procedure codes |
| Paid by Medicare | $7,174 |
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 83 30-day fills |
|---|---|
| Total drug cost | $3,313 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Pennsylvania State University College of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Neurology |
| Telehealth | Offers telehealth |
Medical group
- Sjhmc Physician ServicesGilbert, AZ · 646 clinicians
Hospital affiliation
- St Josephs Hospital and Medical CenterPhoenix, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Psychiatry & Neurology, Neuromuscular Medicine providers in Phoenix
- 1376818229
- 1417931767
- 1821035254
All Psychiatry & Neurology, Neuromuscular Medicine providers in Arizona →