JAMES MARK FULMER MD
NPI 1053364844
Radiology - Diagnostic Radiology in Dallas, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.57/100
CMS Quality Rating
3500 GASTON AVE, DALLAS, TX 75246(214) 826-8822(214) 826-9792 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Mark Fulmer Md NPPES

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

JAMES MARK FULMER MD (NPI 1053364844) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (G8842) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1984).

NPPES Registry Identity

NPI1053364844
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES MARK FULMERCredential: MD
Location Address3500 GASTON AVEDallas, TX 75246
Mailing Address712 N Washington Ave, Suite 101Dallas, TX 75246-1619 · (214) 826-8822 · Fax (214) 826-9792
Fax(214) 826-9792
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1984
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1053364844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · G8842
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3500 GASTON AVE, Dallas, TX 75246

Other Identifiers 11

Medicaid139987528TX
Medicare PIN300135544TX
Medicare PIN8C8524TX
Medicare PIN8B2812TX
Medicare PIN8026B9TX
Medicare PIN8A6950TX
Medicare UPINE79504
Medicare PINP00080485TX
Medicaid139987527TX
Medicaid139987526TX
Medicare PINP00034768TX

Accepted 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

James Mark Fulmer Md 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 ID8022912351
PECOS Enrollment IDI20031119000965
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 James Fulmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
3500 GASTON AVENUE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 122 clinicians in this Medicare group

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 17

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
710 services710 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
709 services709 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
663 services443 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
121 services96 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
98 services98 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
76 services69 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Uptown

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450422
Location2727 East Lemmon Avenue Building IDallas, TX 75204 · Dallas County
Emergency services
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

87.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.1
Improvement Activities40
Cost58.78

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

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 James Fulmer's NPI number?

The NPI number for James Fulmer is 1053364844. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is James Fulmer located?

James Fulmer practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 826-8822.

What is James Fulmer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Fulmer enrolled in Medicare?

Yes. James 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 James Fulmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fulmer reassigns Medicare benefits to American Radiology Consultants PLLC (Dallas, TX). 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 James Fulmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fulmer accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list James 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.

Is James Fulmer affiliated with any hospitals?

According to CMS data, James Fulmer is affiliated with Baylor University Medical Center, Baylor Scott & White Medical Center- Waxahachie, Baylor Scott And White Medical Center Uptown, Baylor Scott & White Heart & Vascular Hospital - Dallas and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for James Fulmer was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.