Doctor profile · Federal record
Dr. James Fullerton, M.D.
Surgery Physician (CMS: General Surgery) · Springfield, IL
- NPI 1760575229
- Accepts Medicare
- MIPS 90.0 / 100 · 2023
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
900 N 1St St
Springfield, IL 627023749
(217) 528-7541
fax (217) 744-2537 - Mailing address
-
1025 S 6Th St
Springfield, IL 627032403
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- May 22, 2020
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Illinois #036-110732
- Medicaid
- IL #036110732
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760575229. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
618
Distinct HCPCS
10
Medicare allowed
$122,548
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 145 | 55 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $162 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 74 | 72 | $172 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | 43 | $127 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 40 | 37 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 39 | 34 | $86 | |
36415 |
Insertion of needle into vein for collection of blood sample | 34 | 32 | $6 | |
47563 |
Removal of gallbladder with x-ray study of bile ducts using an endoscope | 29 | 29 | $738 | |
43264 |
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 21 | 19 | $210 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $109 |
In context: peer comparison
Among 5 peers in Springfield Surgery Physician, average services per provider: 41. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$336
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medline Industries Lp | 1 | $116.13 | |
| Endogastric Solutions, INC | 1 | $105.02 | |
| Intuitive Surgical, INC. | 1 | $74.42 | |
| Medtronic, INC. | 1 | $40.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
14
Total drug cost
$332
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 17 | 0 | $305 |
| Tramadol Hcl | Generic | 14 | 14 | $27 |
Hospital affiliations
Frequently asked questions
What is Dr. James Fullerton's medical specialty?
Dr. James Fullerton practices Surgery Physician in Springfield, IL.
Where does Dr. James Fullerton practice?
Dr. James Fullerton practices at 900 N 1St St, Springfield, IL 627023749. Office phone: 2175287541.
What is Dr. James Fullerton's NPI?
Dr. James Fullerton's National Provider Identifier (NPI) is 1760575229, issued by NPPES.
Does Dr. James Fullerton accept Medicare assignment?
Yes. Dr. James Fullerton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Fullerton commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.