CORY FULCHER – Otolaryngology Physician, NPI 1295238095
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 OTOLARYNGOLOGY in UT
Provider Addresses for CORY FULCHER
325 E 300 S APT 715
SALT LAKE CITY, UT 841113237
Phone:
Type: Mailing
22 S 900 E
SALT LAKE CITY, UT 841021307
Phone: (801) 328-2522
Type: Location
1935 EASTCHESTER RD APT 16G
BRONX, NY 104612157
Phone:
Type: Mailing
Montefiore Medical Center West Campus Moses Division Hospital, 111, East 210th Street, The Bronx, Bronx County, New York, 10467, United States
BRONX, NY 104672401
Phone: (718) 920-4321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,557.
Total Amount is formed as General ($1,557) + Research ($0) + Ownership ($0) = $1,557.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,264).
Total Amount
$1,557
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-08-30
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 |
|---|---|---|---|---|
| I20230830004128 | I | Otolaryngology | UT | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 18 | $0 |
| 69210 | Removal of impacted ear wax | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| - | UT | |
| Qualified Audiologist | UT | |
| Qualified Speech Language Pathologist | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | OH | |
| Physical Therapist In Private Practice | UT | |
| Qualified Audiologist | TX |
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