DR. DONALD RAY FULSOM (M.D.) – Addiction Psychiatry Physician, NPI 1679568794

DR. DONALD RAY FULSOM (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in Addiction Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. L6047 (TX). The NPI Number for DR. DONALD RAY FULSOM (M.D.) is 1679568794

Main info

Male
Sole Proprietor
Name
DR. DONALD RAY FULSOM (M.D.)
NPI
1679568794
Phone
(903) 593-6550
Address
401 E FRONT ST
Enumeration Date
14 September 2005
Last Update Date
14 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DONALD RAY FULSOM (M.D.)

  • 401, East Front Street, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757028213

    Phone: (903) 593-6550

    Fax: (903) 593-6554

    Type: Mailing

  • 306 E HOUSTON ST

    TYLER, TX 757028218

    Phone: (903) 593-6550

    Fax: (903) 593-6554

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($149).

Total Amount

$149

General + Research + Ownership

Payments

4

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75702)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DONALD RAY FULSOM (M.D.)?
DR. DONALD RAY FULSOM (M.D.) — NPI 1679568794 — is the standard way to identify this listing.
Does CMS list DR. DONALD RAY FULSOM (M.D.) as active?
Yes — DR. DONALD RAY FULSOM (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. DONALD RAY FULSOM (M.D.) hold?
Scheduling teams often label DR. DONALD RAY FULSOM (M.D.) under Addiction Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. DONALD RAY FULSOM (M.D.) list a practice location?
Patients near Tyler, Texas may find DR. DONALD RAY FULSOM (M.D.) in results; validate coverage separately.
Why does DR. DONALD RAY FULSOM (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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