DR. TODD L FULCHER (MD) – Family Medicine Physician, NPI 1124097191

DR. TODD L FULCHER (MD) is a healthcare provider. based in Madison, Mississippi. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 12503 (MS). The NPI Number for DR. TODD L FULCHER (MD) is 1124097191

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD L FULCHER (MD)
NPI
1124097191
Phone
(601) 206-0901
Address
The Madison Health and Rehab
Enumeration Date
14 March 2006
Last Update Date
17 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6012060901
Graduation Year
1989 (37 years ago)
PAC ID
5092600742
Group Practice PAC ID
8628253978
Professional Enrollment ID
I20040220000250
Address ID
MS392066022JA4540XRDXX300
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

941 FAMILY PRACTICE in MS

Provider Addresses for DR. TODD L FULCHER (MD)

  • The Madison Health and Rehab

    111 Kelly Blvd

    Madison, MS 39110

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Trend Health and Rehab of Meridian

    517 33rd St

    Meridian, MS 39305

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Poplar Springs Nursing Center

    6615 Poplar Springs Loop

    Meridian, MS 39305

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Forest Hill Nursing Center

    927 Cooper Rd

    Jackson, MS 39212

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Edgewood Health and Rehab

    205

    Byram, MS 392723927

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Wisteria Gardens

    5420 Highway 80E

    Pearl, MS 39208

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Lexington Manor Nursing Center

    56 Rockport Rd

    Lexington, MS 39095

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Aurora Health and Rehabilitation

    310 Emerald Dr

    Columbus, MS 39702

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Clinton Healthcare

    1251 Pinehaven Rd

    Jackson, MS 39056

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Compere's Nursing Home

    865 North St

    Jackson, MS 39202

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Holmes County Long Term Care

    15481 Bowling Green Rd

    Durant, MS 39063

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Windsor Place Skilled Nursing & Rehabilitation Center

    81 Windsor Blvd

    Columbus, MS 39702

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Vineyard Court Nursing Center

    2002 5th St North

    Columbus, MS 39705

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • Lakeland Nursing and Rehabilitation Center

    3680 Lakeland Ln

    Jackson, MS 39216

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

  • 200 AMITY LN

    BRANDON, MS 390477941

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Mailing

  • MANHATTAN NURSING AND REHABILITATION CENTER

    4540 MANHATTAN RD

    JACKSON, MS 39206

    Phone: (601) 206-0901

    Fax: (888) 240-6288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-20

PECOS data refreshed: 2026-06-15

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
I20040220000250IFamily PracticeMSTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3,0861,365$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,078512$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes525507$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes525520$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes459235$0
View full utilization report →

Insurance plans in this area (ZIP 39110)

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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: 8628253978View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMD
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TODD L FULCHER (MD)?
NPI 1124097191 is assigned to DR. TODD L FULCHER (MD) under the national enumeration system.
Is DR. TODD L FULCHER (MD) currently active in the NPI registry?
CMS-published data lists DR. TODD L FULCHER (MD) as an active registrant.
Does DR. TODD L FULCHER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. TODD L FULCHER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TODD L FULCHER (MD)?
The page summarizes Madison, Mississippi for DR. TODD L FULCHER (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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