Doctor profile · Federal record
Dr. Larry Fuller, Student
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Student in an Organized Health Care Education/Training Program · Gainesville, FL
- NPI 1912360421
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 10 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
1600 Sw Archer RD
Gainesville, FL 326102360
(352) 265-0291 - Additional location
-
500 University Dr, Penn State Health Milton S. Hershey Medical Center
Hershey, PA 170332360
(800) 243-1455 - Additional location
-
2300 Opitz Blvd
Woodbridge, VA 221913311
(703) 523-1199 - Additional location
-
743 Spring St Ne
Gainesville, GA 305013715
(770) 271-9000 - Mailing address
-
Po Box 100374
Gainesville, FL 326100374
Show 1 more location
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- October 1, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Florida #OS17722 · Virginia #0102209072 · Georgia #1322733
- Medicaid
- FL #110846200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912360421. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
17,354
Distinct HCPCS
10
Medicare allowed
$359,744
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,490 | 115 | $0 | |
A9577 |
Injection, gadobenate dimeglumine (multihance), per ml | 1,196 | 72 | $2 | |
A9585 |
Injection, gadobutrol, 0.1 ml | 1,001 | 14 | $0 | |
71045 |
X-ray of chest, 1 view | 668 | 643 | $9 | |
70450 |
Ct scan head or brain without contrast | 331 | 323 | $39 | |
77063 |
Screening 3d breast mammography | 190 | 190 | $51 | |
77067 |
Screening mammography | 189 | 189 | $123 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 169 | 168 | $83 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 169 | 169 | $87 | |
71250 |
Ct scan of chest without contrast | 122 | 122 | $130 |
In context: peer comparison
Among 36 peers in this city , average services per provider: 173. This provider delivers 100× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Larry Fuller's medical specialty?
Dr. Larry Fuller practices Diagnostic Radiology Physician in Gainesville, FL.
Where does Dr. Larry Fuller practice?
Dr. Larry Fuller practices at 1600 Sw Archer RD, Gainesville, FL 326102360. Office phone: 3522650291.
What is Dr. Larry Fuller's NPI?
Dr. Larry Fuller's National Provider Identifier (NPI) is 1912360421, issued by NPPES.
Does Dr. Larry Fuller accept Medicare assignment?
Yes. Dr. Larry Fuller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Larry Fuller commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Injection, gadobenate dimeglumine (multihance), per ml (HCPCS A9577); Injection, gadobutrol, 0.1 ml (HCPCS A9585). Source: CMS Medicare Physician & Other Practitioners file.