2026 NPPES data Surgery Physician NPI 1669417242 M.D.
Verify on CMS →

THOMAS FULLERTON, M.D.

Surgery Physician in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
95
Medicare Part D claims · 84 beneficiaries · Surgery Physician avg: 169
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

THOMAS FULLERTON, M.D. filed 95 Medicare Part D claims in 2023 as a Surgery Physician in SIOUX FALLS, South Dakota, prescribing 69% generic.

95
Part D claims, 2023
69%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

THOMAS FULLERTON, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

95 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

THOMAS FULLERTON, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THOMAS FULLERTON, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/18/2006

NPI 1669417242

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

95 44% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in South Dakota

How Surgery Physician compares to other specialties among South Dakota providers

South Dakota providers

Surgery Physician share within South Dakota

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within South Dakota

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THOMAS FULLERTON, M.D. is a Surgery Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1669417242. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THOMAS FULLERTON, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1200 S 7TH AVE, SIOUX FALLS, SD, 57105, with a listed phone of (605) 336-2140. NPI 1669417242 was issued on 06/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FULLERTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 95 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $7K in drug spend, split 31% brand-name and 69% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1200 S 7TH AVE
SIOUX FALLS, SD 57105

Provider Details

NPI 1669417242
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/18/2006

Brand vs generic prescribing mix · Above average

THOMAS FULLERTON, M.D. — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 95 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

95
Total Claims
$7K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
98
Total Day Supply
413
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$3K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
0.75
Gender Split
33% female / 67% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
11
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A
Suprep
"Sodium
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How THOMAS FULLERTON, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

THOMAS FULLERTON, M.D.'s 95 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as FULLERTON.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS FULLERTON, M.D.'s specialty?
THOMAS FULLERTON, M.D. specializes in Surgery Physician and practices in SIOUX FALLS, South Dakota. Credentials: M.D..
How much does THOMAS FULLERTON, M.D. prescribe under Medicare Part D?
In 2023, THOMAS FULLERTON, M.D. wrote 95 Medicare Part D claims totaling $7K in drug costs for 84 beneficiaries.
Where is THOMAS FULLERTON, M.D. located?
THOMAS FULLERTON, M.D. is located at 1200 S 7TH AVE, SIOUX FALLS, SD, 57105. Phone: (605) 336-2140.
What is THOMAS FULLERTON, M.D.'s NPI number?
THOMAS FULLERTON, M.D.'s National Provider Identifier (NPI) is 1669417242, issued on 06/18/2006.
Does THOMAS FULLERTON, M.D. prescribe more brand-name or generic drugs?
THOMAS FULLERTON, M.D.'s prescribing is 31% brand-name and 69% generic drugs by claim count, with $3K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does THOMAS FULLERTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS FULLERTON, M.D.'s most frequently prescribed drugs include Peg 3350-Electrolyte, Sod Sulf-Potass Sulf-Mag Sulf, Suprep. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS FULLERTON, M.D. accept Medicare?
THOMAS FULLERTON, M.D. appears in CMS Medicare data with 95 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS FULLERTON, M.D.'s credentials?
THOMAS FULLERTON, M.D.'s NPI is 1669417242 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology