DR. JAMES ELTON JR. FULLWOOD (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1184936643

DR. JAMES ELTON JR. FULLWOOD (DPM) is a healthcare provider. based in Pittsfield, Maine. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD 1088 (ME). The NPI Number for DR. JAMES ELTON JR. FULLWOOD (DPM) is 1184936643

Main info

Male
16 Years Of Experience
Name
DR. JAMES ELTON JR. FULLWOOD (DPM)
NPI
1184936643
Phone
(207) 487-6455
Address
447 N MAIN ST
Enumeration Date
12 July 2010
Last Update Date
29 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074874000
Graduation Year
2010 (16 years ago)
PAC ID
1759525835
Group Practice PAC ID
3476462797
Professional Enrollment ID
I20130911000026
Address ID
ME049673707PI447XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

69 PODIATRY in ME

Provider Addresses for DR. JAMES ELTON JR. FULLWOOD (DPM)

  • 447 N MAIN ST

    PITTSFIELD, ME 049673707

    Phone: (207) 487-6455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $4,901.

Total Amount is formed as General ($4,901) + Research ($0) + Ownership ($0) = $4,901.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Stryker Corporation ($2,367).

Total Amount

$4,901

General + Research + Ownership

Payments

30

Total payment records

General Amount

$4,901

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2013-09-11

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
I20130911000026IPodiatryMETBD

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 04967)

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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: 3476462797View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)ME
Family PracticeMT
Nurse PractitionerNH
Nurse PractitionerME
Family Practice, Osteopathic Manipulative MedicineME
Family PracticeME
-ME
General SurgeryME
Certified Registered Nurse Anesthetist (Crna)ME
Internal Medicine, Cardiovascular Disease (Cardiology)ME

Reviews

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Frequently asked questions

What is the registry number for DR. JAMES ELTON JR. FULLWOOD (DPM)?
The registry entry for DR. JAMES ELTON JR. FULLWOOD (DPM) shows NPI 1184936643.
Does the public listing show DR. JAMES ELTON JR. FULLWOOD (DPM) as active?
DR. JAMES ELTON JR. FULLWOOD (DPM)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. JAMES ELTON JR. FULLWOOD (DPM)?
NPPES ties DR. JAMES ELTON JR. FULLWOOD (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JAMES ELTON JR. FULLWOOD (DPM)?
DR. JAMES ELTON JR. FULLWOOD (DPM) is associated with Pittsfield, Maine in the same public data insurers reference.
Who maintains DR. JAMES ELTON JR. FULLWOOD (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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