JOHN P FULKERSON (MD) – Orthopaedic Surgery Physician, NPI 1184621419

JOHN P FULKERSON (MD) is a healthcare provider. based in New haven, Connecticut. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 017855 (CT). The NPI Number for JOHN P FULKERSON (MD) is 1184621419

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P FULKERSON (MD)
NPI
1184621419
Phone
(203) 785-6610
Address
47 COLLEGE ST FL 2
Enumeration Date
1 July 2005
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2037852140
Graduation Year
1975 (51 years ago)
PAC ID
2062485972
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20100827000837
Address ID
CT065191369NE800XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

466 ORTHOPEDIC SURGERY in CT

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Provider Addresses for JOHN P FULKERSON (MD)

  • New Haven, Weston, Broward County, Florida, 33326, United States

    NEW HAVEN, CT 065103209

    Phone: (203) 785-6610

    Type: Mailing

  • 800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States

    NEW HAVEN, CT 065191369

    Phone: (877) 925-3637

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $7,527.

Total Amount is formed as General ($7,527) + Research ($0) + Ownership ($0) = $7,527.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Arthrex, Inc. ($6,938).

Total Amount

$7,527

General + Research + Ownership

Payments

15

Total payment records

General Amount

$7,527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2010-08-27

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
I20100827000837IOrthopedic SurgeryCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06510)

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Provider's Procedures

JOHN P FULKERSON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCT20610Aspiration and/or injection of large joint or joint capsule13790

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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

What is the standard ID for JOHN P FULKERSON (MD) in the U.S.?
In the U.S., JOHN P FULKERSON (MD) is identified by NPI 1184621419.
Is JOHN P FULKERSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists JOHN P FULKERSON (MD) as active.
What does the directory say JOHN P FULKERSON (MD) does?
Insurance directories may phrase it differently, but here JOHN P FULKERSON (MD) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JOHN P FULKERSON (MD) in New Haven, Connecticut?
For routing, start with New Haven, Connecticut for JOHN P FULKERSON (MD), then verify phone and hours locally.
Why is information missing for JOHN P FULKERSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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