DR. MICHAEL JACK COULTER M.D.
NPI 1124477211
Otolaryngology in Camp Pendleton, CA
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Michael Coulter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92117
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 218 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 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.
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.
CAMP PENDLETON, CA 92055
OCEANSIDE, CA 92055
CAMP PENDLETON, CA 92055
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.
Which organizations bill Medicare for Michael Coulter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Coulter reassigns Medicare benefits to 3 organizations: Sunset Ent Inc. (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA). 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 Michael Coulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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. Michael Jack Coulter, M.D. · NPI 1124477211
Otolaryngology physician in Camp Pendleton, California. Individual provider, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1124477211 (Entity type: Individual)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** D7935901 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 MERCY CIRCLE, Camp Pendleton, CA 92055
- **Phone:** (760) 725-6646
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Sunset Ent Inc. (NPI 1689297277, San Diego, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); On Call Specialists Medical Group Of San Diego, Inc. (NPI 1962175836, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124477211) · Data from the CMS NPPES public registry.