GREGG S FULMER (MD) – Hospitalist Physician, NPI 1396781944

GREGG S FULMER (MD) is a healthcare provider. based in Bellefontaine, Ohio. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.081568 (OH). The NPI Number for GREGG S FULMER (MD) is 1396781944

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
GREGG S FULMER (MD)
NPI
1396781944
Phone
(937) 593-0245
Address
110 DOWELL AVE
Enumeration Date
21 June 2006
Last Update Date
18 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375924015
Graduation Year
1997 (29 years ago)
PAC ID
5395716070
Group Practice PAC ID
9032013792
Professional Enrollment ID
I20040804001949
Address ID
OH433112281BE205XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,565 HOSPITALIST in OH

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Provider Addresses for GREGG S FULMER (MD)

  • 110, Dowell Avenue, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 433112305

    Phone: (937) 593-0245

    Fax: (937) 592-8633

    Type: Mailing

  • Palmer Avenue, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 433112281

    Phone: (937) 592-4015

    Type: Location

  • 205 E PALMER RD

    BELLEFONTAINE, OH 433112281

    Phone: (937) 593-0245

    Fax: (937) 592-8633

    Type: Mailing

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: 2004-08-04

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
I20040804001949IHospitalistOHTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes489238$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes342165$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes326192$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes169153$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10573$0
View full utilization report →

Insurance plans in this area (ZIP 43311)

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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: 9032013792View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Physician AssistantOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
-OH
A N E S T H E S I O L O G YOH
Plastic And Reconstructive SurgeryOH
General SurgeryOH

Reviews

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Frequently asked questions

Can I use this page to confirm GREGG S FULMER (MD)'s NPI?
Yes. GREGG S FULMER (MD) is listed with NPI 1396781944 in the public NPI dataset.
Can I rely on GREGG S FULMER (MD) being an active provider?
As of the registry snapshot, GREGG S FULMER (MD) is marked active.
What taxonomy line describes GREGG S FULMER (MD)?
For research purposes, treat GREGG S FULMER (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is GREGG S FULMER (MD) based?
GREGG S FULMER (MD) is tied to Bellefontaine, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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