DR. JEREMY FULK – Optometrist, NPI 1134571698

DR. JEREMY FULK is a healthcare provider. based in Fairbanks, Alaska. specializing in OPTOMETRY. They hold a License No. 112293 (AK). The NPI Number for DR. JEREMY FULK is 1134571698

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY FULK
NPI
1134571698
Phone
(907) 888-8174
Address
1275 Sadler Way Ste 103
Enumeration Date
8 July 2016
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
9078888174
Graduation Year
2016 (10 years ago)
PAC ID
0941595888
Group Practice PAC ID
6406249721
Professional Enrollment ID
I20160817000881
Address ID
AK997013175FA1275XWAYX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

146 OPTOMETRY in AK

Provider Addresses for DR. JEREMY FULK

  • 1275 Sadler Way Ste 103

    Fairbanks, AK 997013175

    Phone: (907) 888-8174

    Type: Location

  • 116, Minnie Street, Slaterville, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997013006

    Phone: (907) 456-7760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $545.

Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Optos, Inc. ($218).

Total Amount

$545

General + Research + Ownership

Payments

7

Total payment records

General Amount

$545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160817000881IOptometryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes23571$0
0507TNear infrared dual imaging of tear glands with interpretation and report13662$0
92133Imaging of optic nerve10032$0
92250Photography of the retina7748$0
68761Closure of tear duct opening using plug5015$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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Provider's Procedures

DR. JEREMY FULK performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAK92134Diagnostic imaging of retina3837

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406249721View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I cross-check DR. JEREMY FULK using NPI 1134571698?
NPI 1134571698 belongs to DR. JEREMY FULK; compare other details if you need extra assurance.
Is DR. JEREMY FULK shown as active in public data?
Registry records indicate DR. JEREMY FULK maintains an active NPI.
How would a patient describe DR. JEREMY FULK's focus?
For DR. JEREMY FULK, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEREMY FULK?
Travel planning: use Fairbanks, Alaska as the reference point for DR. JEREMY FULK, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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