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DR. MICHAEL PAUL FULLENKAMP M.D.
NPI 1053408864
Emergency Medicine in St. Louis, MO

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
98.32/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLAZA, ST. LOUIS, MO 63110(314) 294-0446 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Paul Fullenkamp M.d. NPPES

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

DR. MICHAEL PAUL FULLENKAMP M.D. (NPI 1053408864) is an individual emergency medicine provider in St. Louis, Missouri, licensed in Missouri (2005015807) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Lakeside, and is a graduate of University Of Nebraska College Of Medicine (2005).

NPPES Registry Identity

NPI1053408864
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL PAUL FULLENKAMPCredential: M.D.
Location Address1 BARNES JEWISH HOSPITAL PLAZASt. Louis, MO 63110
Mailing Address379 N Taylor Ave Apt 1wSaint Louis, MO 63108-1981
Phone(314) 294-0446
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 8, 2009
✔ NPI 1053408864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2005015807
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 BARNES JEWISH HOSPITAL PLAZA, St. Louis, MO 63110
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Other Identifiers 2

Medicare PINI9291011IA
Medicare PIN09338018NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Dr. Michael Paul Fullenkamp M.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 ID1456403948
PECOS Enrollment IDI20090827000126
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
242 services230 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
240 services232 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
46 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

98.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

BARNES JEWISH HOSPITAL
General Acute Care Hospital
1 BARNES JEWISH HOSPITAL PLAZA, 90-23-402 VISION CENTER
ST LOUIS, MO 63110
St. Louis City (314) 362-6123
MS. NATALIE K MEIRINK ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLAZA, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
SURAJ SHANKAR MD
Psychiatry & Neurology (Psychiatry)
1 BARNES JEWISH HOSPITAL PLAZA
SAINT LOUIS, MO 63110
St. Louis City (314) 362-2462
DR. JOHN WILLIAM DAVIS MD PHD
Internal Medicine
1 BARNES JEWISH HOSPITAL PLAZA
ST. LOUIS, MO 63110
St. Louis City (314) 747-3000
DR. FRITZ BRECKNER D.O.
Emergency Medicine
1 BARNES JEWISH HOSPITAL PLAZA, DEPT OF ANESTHESIOLOGY
ST. LOUIS, MO 63110
St. Louis City (800) 862-9980
ZACHARIAH WILLIAM COLE DMD, MD
Oral & Maxillofacial Surgery
1 BARNES JEWISH HOSPITAL PLAZA, SUITE 203
ST LOUIS, MO 63110
St. Louis City (314) 361-6006
ROBERT WAITE CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLAZA, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
MS. BIBI SHAZEEDA RAZAK M.D.
Student in an Organized Health Care Education/Training Program
1 BARNES JEWISH HOSPITAL PLAZA, IM DIVISION OF NEPHROLOGY
ST. LOUIS, MO 63110
St. Louis City (314) 362-9096

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 Michael Fullenkamp's NPI number?

The NPI number for Michael Fullenkamp is 1053408864. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Michael Fullenkamp located?

Michael Fullenkamp practices at 1 Barnes Jewish Hospital Plaza, St. Louis, MO 63110. The listed phone number is (314) 294-0446.

What is Michael Fullenkamp's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Fullenkamp enrolled in Medicare?

Yes. Michael 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 Michael Fullenkamp accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Michael 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.

Is Michael Fullenkamp affiliated with any hospitals?

According to CMS data, Michael Fullenkamp is affiliated with Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Michael Fullenkamp was last updated on September 8, 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.