Doctor profile · Federal record
Dr. Corey Fuller, MD
Sports Medicine (Orthopaedic Surgery) Physician (CMS: Sports Medicine) · Orthopaedic Surgery Physician · Orthopaedic Surgery Physician · Loma Linda, CA
- NPI 1053637694
- Accepts Medicare
- MIPS 76.4 / 100 · 2023
- 16 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
25455 Barton RD Ste 102B
Loma Linda, CA 923543139
(909) 558-6444
fax (909) 558-6118 - Additional location
-
450 N Graham St
Portland, OR 972271682
(503) 413-4488 - Mailing address
-
11406 Loma Linda Dr Ste 226
Loma Linda, CA 923543711
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- March 18, 2026
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207XX0005X — NUCC code
- State licenses (2)
- California #A118405 · Oregon #MD229227
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053637694. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,250
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| OrthoPediatrics Corp. | 1 | $2,250.00 |
By nature of payment
Frequently asked questions
What is Dr. Corey Fuller's medical specialty?
Dr. Corey Fuller practices Sports Medicine (Orthopaedic Surgery) Physician in Loma Linda, CA.
Where does Dr. Corey Fuller practice?
Dr. Corey Fuller practices at 25455 Barton RD Ste 102B, Loma Linda, CA 923543139. Office phone: 9095586444.
What is Dr. Corey Fuller's NPI?
Dr. Corey Fuller's National Provider Identifier (NPI) is 1053637694, issued by NPPES.
Does Dr. Corey Fuller accept Medicare assignment?
Yes. Dr. Corey Fuller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.