NATALIA FULLERTON MD
NPI 1154689453
Plastic Surgery - Surgery of the Hand in Miami, FL

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
900 NW 17TH ST, MIAMI, FL 33136(305) 482-4549(305) 326-6585 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2019, Aug 1, 2019, Mar 20, 2018 and 1 more (4 updates tracked since 2017).

About Natalia Fullerton Md NPPES

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

NATALIA FULLERTON MD (NPI 1154689453) is an individual surgery of the hand provider in Miami, Florida, licensed in Florida (ME134928) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154689453
Entity TypeIndividualFemale
Primary Taxonomy2082S0105X
Provider Legal NameNATALIA FULLERTONCredential: MD
Location Address900 NW 17TH STMiami, FL 33136-1119
Mailing Address900 Nw 17th St Ste 10gMiami, FL 33136-1119 · (305) 482-4563
Fax(305) 326-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateOctober 16, 20194 updates tracked since enumeration
NPI 1154689453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License Licensed in FL · ME134928
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
900 NW 17TH ST, Miami, FL 33136

Other Names 1

Former Name (1)Natalia Jimenez

Accepted 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

Natalia Fullerton 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.

PECOS PAC ID4183952245
PECOS Enrollment IDI20190827003409
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 2

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.

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.
49 services36 patients
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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
6%99 patients
Breast Cancer Screening
28%212 patients2/55-star benchmark: 93%
Cervical Cancer Screening
20%286 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
26%398 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
72%105 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
40%55 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%55 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%1,161 patients4/55-star benchmark: 100%
e-Prescribing
100%38 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%146 patients4/55-star benchmark: 100%
HIV Screening
22%526 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%639 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
73%560 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%962 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 358 patients
96%358 patients
Provide Patients Electronic Access to Their Health Information
100%283 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 154 patients
Patients totalRate: 13% · 154 patients
11%154 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Specialist
900 NW 17TH ST, RM 27
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136

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 Natalia Fullerton's NPI number?

The NPI number for Natalia Fullerton is 1154689453. It was assigned to this individual provider in the NPPES registry on April 25, 2012. The provider is also known as Natalia Jimenez.

Where is Natalia Fullerton located?

Natalia Fullerton practices at 900 NW 17th St, Miami, FL 33136. The listed phone number is (305) 482-4549.

What is Natalia Fullerton's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Natalia Fullerton enrolled in Medicare?

Yes. Natalia Fullerton 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 Natalia Fullerton accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Natalia Fullerton 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 Natalia Fullerton affiliated with any hospitals?

According to CMS data, Natalia Fullerton is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Natalia Fullerton was last updated on October 16, 2019. 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.