MR. DYLAN TODD FULFORD (PA-C) – Physician Assistant, NPI 1003585381
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. DYLAN TODD FULFORD (PA-C)
PO BOX 9261
WICHITA FALLS, TX 763089261
Phone: (940) 764-7230
Fax: (940) 764-7255
Type: Mailing
1620 8TH ST
WICHITA FALLS, TX 763013108
Phone: (940) 764-5400
Fax: (940) 764-5454
Type: Location
17506 BOBCAT TRL
CYPRESS, TX 774291212
Phone: (940) 452-6006
Type: Mailing
13603 MICHEL RD
TOMBALL, TX 773756410
Phone: (281) 351-7261
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,044.
Total Amount is formed as General ($1,044) + Research ($0) + Ownership ($0) = $1,044.
Last reported payment date: 2023-04-15 • Largest payer in this snapshot: MicroPort Orthopedics Inc ($1,044).
Total Amount
$1,044
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,044
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MicroPort Orthopedics Inc | $1,044 |
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: 2021-10-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211014003292 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 3,375 | 34 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 462 | 42 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 151 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 78 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 28 | 28 | $0 |
Insurance plans in this area (ZIP 76308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Sports Medicine, Family Practice | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Internal Medicine | TX | |
| U R O L O G Y | TX | |
| Endocrinology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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