Doctor profile · Federal record
Dr. Ty Fullmer, DO
Emergency Medicine Physician (CMS: Emergency Medicine) · Student in an Organized Health Care Education/Training Program · Clinton Township, MI
- NPI 1679136758
- Accepts Medicare
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
15855 19 Mile RD
Clinton Township, MI 480383504
(586) 263-2300 - Additional location
-
4401 Harrison Blvd
Ogden, UT 844033195
(801) 387-7000
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- May 19, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Utah #12811005-1204
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679136758. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
495
Distinct HCPCS
6
Medicare allowed
$46,303
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 175 | 172 | $170 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 115 | 107 | $8 | |
93042 |
Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 108 | 105 | $7 | |
99284 |
Emergency department visit with moderate level of medical decision making | 51 | 50 | $117 | |
99291 |
Critical care, first 30-74 minutes | 35 | 35 | $205 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $166 |
In context: peer comparison
Among 22 peers in Clinton Township Emergency Medicine Physician, average services per provider: 121. This provider delivers 4.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
33
Patients
33
Total drug cost
$201
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 21 | 21 | $162 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 12 | 12 | $39 |
Hospital affiliations
Frequently asked questions
What is Dr. Ty Fullmer's medical specialty?
Dr. Ty Fullmer practices Emergency Medicine Physician in Clinton Township, MI.
Where does Dr. Ty Fullmer practice?
Dr. Ty Fullmer practices at 15855 19 Mile RD, Clinton Township, MI 480383504. Office phone: 5862632300.
What is Dr. Ty Fullmer's NPI?
Dr. Ty Fullmer's National Provider Identifier (NPI) is 1679136758, issued by NPPES.
Does Dr. Ty Fullmer accept Medicare assignment?
Yes. Dr. Ty Fullmer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ty Fullmer commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Electrocardiogram (ecg) 1 to 3 leads with review by physician only (HCPCS 93042). Source: CMS Medicare Physician & Other Practitioners file.