DR. KEVIN L. FULFORD MD
NPI 1063594612
Obstetrics & Gynecology in La Mesa, CA
About Dr. Kevin L. Fulford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN L. FULFORD MD (NPI 1063594612) is an individual obstetrics & gynecology provider in La Mesa, California, licensed in California (A66474) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murfreesboro, and is a graduate of Loma Linda University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Kevin L. Fulford 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.
Medicare Billing Reassignments
8Medicare enrollment records show Kevin Fulford reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colorado Springs, CO 80920
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Obhg Colorado PC
- 66 clinicians in this Medicare group
Berthoud, CO 80513
- Reassigned Medicare billing, Colorado enrollment
- 324 clinicians in this Medicare group
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 163 clinicians in this Medicare group
Greeley, CO 80634
- Reassigned Medicare billing, Colorado enrollment
- 45 clinicians in this Medicare group
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 16 clinicians in this Medicare group
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 17 clinicians in this Medicare group
Sterling, CO 80751
- Reassigned Medicare billing, Colorado enrollment
- 16 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA MESA, CA 91942
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 Kevin Fulford's NPI number?
The NPI number for Kevin Fulford is 1063594612. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Kevin Fulford located?
Kevin Fulford practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 704-4966.
What is Kevin Fulford's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kevin Fulford enrolled in Medicare?
Yes. Kevin Fulford 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 organizations bill Medicare for Kevin Fulford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Fulford reassigns Medicare benefits to 8 organizations: Obhg Colorado, P.C. (Colorado Springs, CO), Banner Health Physicians Colorado LLC (Berthoud, CO), Banner Hospital Based Physicians Colorado LLC (Loveland, CO), North Colorado Family Medicine (Greeley, CO), Obhg Wyoming PC (Casper, WY) and 3 more organizations, listed in the Medicare section above. Each 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 Kevin Fulford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Fulford accept?
Health plans from Blue Cross Blue Shield of Wyoming list Kevin Fulford 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 Kevin Fulford was last updated on January 3, 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.
# Dr. Kevin L. Fulford, MD · NPI 1063594612
Obstetrics & Gynecology physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1063594612 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A66474 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 704-4966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Obhg Colorado, P.C. (NPI 1104116896, Colorado Springs, CO); Banner Health Physicians Colorado LLC (NPI 1669733291, Berthoud, CO); Banner Hospital Based Physicians Colorado LLC (NPI 1093127276, Loveland, CO); North Colorado Family Medicine (NPI 1083642680, Greeley, CO); Obhg Wyoming PC (NPI 1346055068, Casper, WY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** January 3, 2020
- **Other identifiers:** Medicaid 3861990 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1063594612) · Data from the CMS NPPES public registry.