Michael John Fullam, PA
Physician Assistant · Patchogue, NY
Michael John Fullam, PA is a physician assistant with a practice address in Patchogue, New York, and NPI 1255599163, issued on May 28, 2008. Check the license (New York 006268, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael John Fullam
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 006268 NY
Self-reported in NPPES; status is on the state search - Practice location
- 107 N Ocean Ave, Patchogue, NY 11772
- Phone
- (631) 654-5004
- Enumerated
- May 28, 2008
- Record last updated
- Feb 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20040419001486); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 107 N Ocean Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Allison Boyle, P.A.Medical Physician Assistant1285988642
- Cherese Laporta, D.O.Family Medicine Physician1437206943
Verify Michael John Fullam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 006268Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10.6 times the Medicare Part D claims of the average physician assistant in 2024
8,781 Medicare Part D claims for 2,130 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Atorvastatin Calcium935 claims
- Metoprolol Succinate813 claims
- Eliquis722 claims
- Rosuvastatin Calcium662 claims
- Amlodipine Besylate383 claims
- Losartan Potassium356 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- New York UniversityNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
79 physician assistant records list a practice address in Patchogue
They are 79 of the 987 NPPES records with a practice address in Patchogue, and 15,555 physician assistant records in New York.
All 79 in Patchogue → All 15,555 in New York → Every provider in Patchogue →
Other physician assistant records in New York
- Brynn Aakjar, P.A.Yonkers, NY1447592456
- Andrea Aaron, PABronx, NY1427103555
- Gabriella AaronCentral Islip, NY1790605376
- Danielle AaronsSmithtown, NY1881207520
- John AbadeerBrooklyn, NY1801434949
- Zenebou Abalo-Toga, PANew York, NY1124556154
- Kevin Alfred Abalos, PA-CCambria Heights, NY1700286424
- Clarisse AbanillaNew York, NY1598445579
- Vincent Abanilla, PA-CBrooklyn, NY1366201808
- Marie Abate, PA-CValhalla, NY1285225524
Common questions
What is Michael John Fullam, PA's NPI number?
Michael John Fullam, PA's National Provider Identifier (NPI) is 1255599163, issued on May 28, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Michael John Fullam, PA located?
The NPPES record lists a practice address at 107 N Ocean Ave, Patchogue, NY, 11772. Phone: (631) 654-5004. Providers update this record themselves, so call before visiting.
How can I verify Michael John Fullam, PA's license?
NPPES lists New York license number 006268, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Michael John Fullam, PA prescribe under Medicare Part D?
In 2024, Michael John Fullam, PA had 8,781 Medicare Part D claims for 2,130 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Michael John Fullam, PA's MIPS final score?
The 2023 MIPS final score is 84.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.