FULTON III PORTER (MD) – Internal Medicine Physician, NPI 1316944341
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,390 HOSPITALIST in IL
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Provider Addresses for FULTON III PORTER (MD)
17850, Kedzie Avenue, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States
3200
HAZEL CREST, IL 604292058
Phone: (708) 798-8112
Fax: (708) 798-9016
Type: Location
PO BOX 967
TINLEY PARK, IL 604770967
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Mylan Specialty L.P. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $25 |
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: 2013-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040902000969 | I | Internal Medicine | IL | TBD |
| I20130517000425 | I | Hospitalist | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 458 | 171 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 165 | 87 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 156 | 154 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 62 | 61 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 60 | 60 | $0 |
Insurance plans in this area (ZIP 60429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | IL | |
| Internal Medicine | MO | |
| H O S P I T A L I S T | MS | |
| Internal Medicine | CA | |
| H O S P I T A L I S T | SC | |
| Hospitalist, Internal Medicine | CA | |
| - | MO | |
| Internal Medicine | CA | |
| - | OR | |
| Internal Medicine, Hospitalist | IL |
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