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DR. PATRICIA MARIE FULMER O.D.
NPI 1013340371
Optometrist in Huntsville, AL

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
11310 MEMORIAL PKWY SW STE G, HUNTSVILLE, AL 35803(256) 808-2345 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2020, Jul 27, 2020 (2 updates tracked since 2020).

About Dr. Patricia Marie Fulmer O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA MARIE FULMER O.D. (NPI 1013340371) is an individual optometrist in Huntsville, Alabama, licensed in Alabama (S-D13-TA-951) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2012).

NPPES Registry Identity

NPI1013340371
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PATRICIA MARIE FULMERCredential: O.D.
Location Address11310 MEMORIAL PKWY SW STE GHuntsville, AL 35803-2666
Mailing Address14034 Green Way Park Cir SeHuntsville, AL 35803-5200 · (256) 653-8847
Phone(256) 808-2345
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2012
Enumeration DateAugust 9, 2013
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1013340371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S-D13-TA-951
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11310 MEMORIAL PKWY SW STE G, Huntsville, AL 35803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patricia Marie Fulmer O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507000502
PECOS Enrollment IDI20130912000621
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Fulmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patricia M. Fulmer, O.D., L.L.C.
Same address
Optometrist
11310 MEMORIAL PKWY SW STE G
Huntsville, AL 35803
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1831708767 (256) 653-8847

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%161 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA M. FULMER, O.D., L.L.C.
Optometrist
11310 MEMORIAL PKWY SW STE G
HUNTSVILLE, AL 35803
Madison County (256) 653-8847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Fulmer's NPI number?

The NPI number for Patricia Fulmer is 1013340371. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Patricia Fulmer located?

Patricia Fulmer practices at 11310 Memorial Pkwy SW Ste G, Huntsville, AL 35803. The listed phone number is (256) 808-2345.

What is Patricia Fulmer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Patricia Fulmer enrolled in Medicare?

Yes. Patricia Fulmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Patricia Fulmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Fulmer reassigns Medicare benefits to Patricia M. Fulmer, O.D., L.L.C. (Huntsville, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Fulmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Fulmer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Patricia Fulmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricia Fulmer was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.