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DR. KENNETH DWAYNE FULKS M.D.
NPI 1144237751
Surgery - Plastic and Reconstructive Surgery in Columbia, TN

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
1601 HATCHER LN, COLUMBIA, TN 38401(931) 381-2802(931) 388-0719 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Dwayne Fulks M.d. NPPES

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

DR. KENNETH DWAYNE FULKS M.D. (NPI 1144237751) is an individual plastic and reconstructive surgery provider in Columbia, Tennessee, licensed in Tennessee (MD019595) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1144237751
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. KENNETH DWAYNE FULKSCredential: M.D.
Location Address1601 HATCHER LNColumbia, TN 38401-4826
Mailing Address1601 Hatcher LnColumbia, TN 38401-4826 · (931) 381-2802 · Fax (931) 388-0719
Phone(931) 381-2802
Fax(931) 388-0719
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144237751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TN · MD019595
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1601 HATCHER LN, Columbia, TN 38401
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Other Identifiers 3

Medicaid3059467TN
Medicare UPIND32244TN
Medicare ID-Type Unspecified3059467TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Kenneth Dwayne Fulks 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 ID3971637463
PECOS Enrollment IDI20100819000628
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
98 services98 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
71 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
65 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services30 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

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 Kenneth Fulks's NPI number?

The NPI number for Kenneth Fulks is 1144237751. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Kenneth Fulks located?

Kenneth Fulks practices at 1601 Hatcher Ln, Columbia, TN 38401. The listed phone number is (931) 381-2802.

What is Kenneth Fulks's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kenneth Fulks enrolled in Medicare?

Yes. Kenneth Fulks 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 Kenneth Fulks accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kenneth Fulks 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 Kenneth Fulks affiliated with any hospitals?

According to CMS data, Kenneth Fulks is affiliated with Maury Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Fulks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.