Doctor profile · Federal record
Dr. Jace Fullmer, D.O.
Emergency Medicine Physician (CMS: Emergency Medicine) · Salt Lake City, UT
- NPI 1306145776
- Accepts Medicare
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5121 S Cottonwood St
Salt Lake City, UT 841075701
(801) 507-9700
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- December 19, 2015
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Utah #9415721-1204
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306145776. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
468
Distinct HCPCS
5
Medicare allowed
$49,409
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 195 | 190 | $170 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 142 | 139 | $8 | |
99284 |
Emergency department visit with moderate level of medical decision making | 83 | 83 | $117 | |
99291 |
Critical care, first 30-74 minutes | 26 | 26 | $205 | |
93042 |
Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 22 | 22 | $7 |
In context: peer comparison
Among 70 peers in this city , average services per provider: 64. This provider delivers 7.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
57
Patients
57
Total drug cost
$322
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 24 | 24 | $159 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 20 | 20 | $78 |
| Ondansetron Odt (Ondansetron) | Brand | 13 | 13 | $84 |
Hospital affiliations
Frequently asked questions
What is Dr. Jace Fullmer's medical specialty?
Dr. Jace Fullmer practices Emergency Medicine Physician in Salt Lake City, UT.
Where does Dr. Jace Fullmer practice?
Dr. Jace Fullmer practices at 5121 S Cottonwood St, Salt Lake City, UT 841075701. Office phone: 8015079700.
What is Dr. Jace Fullmer's NPI?
Dr. Jace Fullmer's National Provider Identifier (NPI) is 1306145776, issued by NPPES.
Does Dr. Jace Fullmer accept Medicare assignment?
Yes. Dr. Jace Fullmer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jace 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); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.