JOHN P FULKERSON MD
NPI 1184621419
Orthopaedic Surgery in New Haven, CT

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
800 HOWARD AVE, NEW HAVEN, CT 06519(877) 925-3637 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2020, Aug 27, 2020 (2 updates tracked since 2020).

About John P Fulkerson Md NPPES

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

JOHN P FULKERSON MD (NPI 1184621419) is an individual orthopaedic surgery provider in New Haven, Connecticut, licensed in Connecticut (017855) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1975).

NPPES Registry Identity

NPI1184621419
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN P FULKERSONCredential: MD
Location Address800 HOWARD AVENew Haven, CT 06519-1369
Mailing Address47 College St Fl 2New Haven, CT 06510-3209 · (203) 785-6610
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1975
Enumeration DateJuly 1, 2005
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1184621419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CT · 017855
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
800 HOWARD AVE, New Haven, CT 06519

Other Identifiers 1

Medicaid001178557CT

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

John P Fulkerson 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 ID2062485972
PECOS Enrollment IDI20100827000837
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Fulkerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
Orthopaedic Surgery
1111 CROMWELL AVE, SUITE 301
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 90 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 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Nurse Practitioner (Family)
800 HOWARD AVE
NEW HAVEN, CT 06519
Surgery
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Nurse Practitioner
800 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Medical Oncology)
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519
Clinical Nurse Specialist (Gerontology)
800 HOWARD AVE
NEW HAVEN, CT 06519
Physical Medicine & Rehabilitation
800 HOWARD AVE
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Psychiatry & Neurology (Neuromuscular Medicine)
800 HOWARD AVE
NEW HAVEN, CT 06519

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 John Fulkerson's NPI number?

The NPI number for John Fulkerson is 1184621419. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is John Fulkerson located?

John Fulkerson practices at 800 Howard Ave, New Haven, CT 06519. The listed phone number is (877) 925-3637.

What is John Fulkerson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Fulkerson enrolled in Medicare?

Yes. John Fulkerson 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 John Fulkerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Fulkerson reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Orthopedic Associates Of Hartford,pc (Rocky Hill, CT). 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 John Fulkerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Fulkerson accept?

Health plans from Anthem Blue Cross and Blue Shield list John Fulkerson 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 John Fulkerson was last updated on September 2, 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.