Doctor profile · Federal record

Dr. Michael Fullam, PA

Physician Assistant · Patchogue, NY

  • NPI 1255599163
  • Accepts Medicare
  • MIPS 84.5 / 100 · 2023
  • 29 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
107 N Ocean Ave
Patchogue, NY 117722012
(631) 654-5004
Mailing address
25 Northumberland Dr
Shoreham, NY 117862000

Credentials & registration

NPPES · NUCC
NPI registered
May 2008 — 18 yrs on file
Profile last updated
February 25, 2021
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #006268

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255599163. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
247
Distinct HCPCS
5
Medicare allowed
$16,285
HCPCS Description Services Patients Avg allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 80 55 $74
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 61 59 $8
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 61 60 $132
93793 Anticoagulant management of patient taking warfarin 34 25 $11
99214 Established patient office or other outpatient visit, 30-39 minutes 11 11 $128

In context: peer comparison

Among 14 peers in this city , average services per provider: 81. This provider delivers 3.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
5,567
Patients
2,120
Total drug cost
$988,070
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 836 307 $9,549
Metoprolol Succinate Generic 727 274 $16,028
Eliquis (Apixaban) Brand 692 246 $915,505
Rosuvastatin Calcium Generic 585 222 $9,563
Losartan Potassium Generic 425 165 $5,259
Amlodipine Besylate Generic 403 156 $2,796
Clopidogrel (Clopidogrel Bisulfate) Brand 277 103 $4,004
Carvedilol Generic 276 110 $3,386
Lisinopril Generic 268 101 $2,365
Ezetimibe Generic 239 89 $11,391

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Fullam's medical specialty?
Dr. Michael Fullam practices Physician Assistant in Patchogue, NY.
Where does Dr. Michael Fullam practice?
Dr. Michael Fullam practices at 107 N Ocean Ave, Patchogue, NY 117722012. Office phone: 6316545004.
What is Dr. Michael Fullam's NPI?
Dr. Michael Fullam's National Provider Identifier (NPI) is 1255599163, issued by NPPES.
Does Dr. Michael Fullam accept Medicare assignment?
Yes. Dr. Michael Fullam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Fullam commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Initial nursing facility care with moderate level of medical decision making (HCPCS 99305). Source: CMS Medicare Physician & Other Practitioners file.