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DR. MICHAEL JACK COULTER M.D.
NPI 1124477211
Otolaryngology in Camp Pendleton, CA

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055(760) 725-6646 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Jack Coulter M.d. NPPES

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

DR. MICHAEL JACK COULTER M.D. (NPI 1124477211) is an individual otolaryngology provider in Camp Pendleton, California, licensed in California (D7935901) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1124477211
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL JACK COULTERCredential: M.D.
Location Address200 MERCY CIRCLECamp Pendleton, CA 92055
Mailing AddressPo Box 555191Camp Pendleton, CA 92055-5191 · (760) 725-6646
Phone(760) 725-6646
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1124477211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in CA · D7935901✔ Licensed in CA · A150427
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 MERCY CIRCLE, Camp Pendleton, CA 92055
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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 Jack Coulter 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 ID345766838
PECOS Enrollment IDI20250428003181
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92055 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

MARIA J HERRERA PH.D.
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (510) 542-0859
SHERRI MARTINEZ LMFT, ADCII
Counselor (Addiction (Substance Use Disorder))
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-0063
DR. ASHLEY BITTLE LCSW, PSY.D.
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3322
MISS KELLY CAROL PENG D.O
Military Health Care Provider
200 MERCY CIRCLE, EMERGENCY MEDICINE DEPARTMENT
OCEANSIDE, CA 92055
San Diego County (760) 719-3994
CAROLYN STEINLAGE DPT
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3791
SHANE MCGUIRE FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-8912
MELINDA WEE FAH MARTINEZ PA
Physician Assistant
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-4550
ALEXANDER JEFFREY NELSON PA-C
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288

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 Coulter's NPI number?

The NPI number for Michael Coulter is 1124477211. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Michael Coulter located?

Michael Coulter practices at 200 Mercy Circle, Camp Pendleton, CA 92055. The listed phone number is (760) 725-6646.

What is Michael Coulter's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Coulter enrolled in Medicare?

Yes. Michael Coulter 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.

When was this NPI record last updated?

The NPPES record for Michael Coulter was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.