DR. MICHAEL PAUL FULLENKAMP (M.D.) – Emergency Medicine Physician, NPI 1053408864
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
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Provider Addresses for DR. MICHAEL PAUL FULLENKAMP (M.D.)
379 N TAYLOR AVE APT 1W
SAINT LOUIS, MO 631081981
Phone:
Type: Mailing
Barnes-Jewish Hospital, 1, Barnes Jewish Hospital Plaza, Central West End, St. Louis, Missouri, 63110, United States
ST. LOUIS, MO 63110
Phone: (314) 294-0446
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: 2009-08-27
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 |
|---|---|---|---|---|
| I20090714000550 | I | Emergency Medicine | IA | TBD |
| I20090827000126 | I | Emergency Medicine | NE | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 284 | 277 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 135 | 134 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 42 | 42 | $0 |
| 99291 | Critical care, first 30-74 minutes | 26 | 26 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 17 | 14 | $0 |
Insurance plans in this area (ZIP 63108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | NE | |
| Orthopedic Surgery | NE | |
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology) | NE | |
| H O S P I T A L I S T | CA | |
| N E U R O L O G Y | MO | |
| U R O L O G Y | NE | |
| Hospitalist, Internal Medicine | IA | |
| Family Practice | NE | |
| Orthopedic Surgery | IL |
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