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DAVID A FULLENKAMP O.D.
NPI 1043297625
Optometrist in Portland, IN

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
1111 N MERIDIAN ST, PORTLAND, IN 47371(260) 726-4210(260) 726-9347 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David A Fullenkamp O.d. NPPES

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

DAVID A FULLENKAMP O.D. (NPI 1043297625) is an individual optometrist in Portland, Indiana, licensed in Indiana (18002167A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1043297625
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID A FULLENKAMPCredential: O.D.
Location Address1111 N MERIDIAN STPortland, IN 47371-1024
Mailing AddressPo Box 1268Portland, IN 47371-3268 · (260) 726-4210 · Fax (260) 726-9347
Phone(260) 726-4210
Fax(260) 726-9347
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 27, 2005
Last NPPES UpdateNovember 24, 2009
✔ NPI 1043297625 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 IN · 18002167A
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.
1111 N MERIDIAN ST, Portland, IN 47371
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Other Identifiers 6

Medicare PIN402810CIN
Medicaid100147120IN
Medicaid2090544OH
Medicare UPINT69244
Medicare PIN410032887IN
Medicare PIN410032872IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David A Fullenkamp 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 ID2466355433
PECOS Enrollment IDI20060330000674
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.

Areas of Expertise CMS Part B claims 4

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
215 services215 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.
68 services40 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
28 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47371 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$61.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

INDIANA VISION GROUP, LLC
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
DAVID A. FULLENKAMP,OD, PC
Eyewear Supplier
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
DAVID A. FULLENKAMP, O.D., P.C.
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-5161
DR. ABBY ELIZABETH SMALL OD
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
THE EYE CENTER GROUP LLC
Durable Medical Equipment & Medical Supplies
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
EYE CENTER GROUP, LLC
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210

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 David Fullenkamp's NPI number?

The NPI number for David Fullenkamp is 1043297625. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is David Fullenkamp located?

David Fullenkamp practices at 1111 N Meridian St, Portland, IN 47371. The listed phone number is (260) 726-4210.

What is David Fullenkamp's specialty?

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

Is David Fullenkamp enrolled in Medicare?

Yes. David Fullenkamp 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.

What insurance does David Fullenkamp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list David Fullenkamp 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 David Fullenkamp was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.