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DR. JAMES ELTON FULLWOOD JR. DPM
NPI 1184936643
Podiatrist - Foot & Ankle Surgery in Pittsfield, ME

Active since July 12, 2010PECOS Enrolled
100/100
CMS Quality Rating
447 N MAIN ST, PITTSFIELD, ME 04967(207) 487-6455 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Elton Fullwood Jr. Dpm NPPES

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

DR. JAMES ELTON FULLWOOD JR. DPM (NPI 1184936643) is an individual foot & ankle surgery provider in Pittsfield, Maine, licensed in Maine (POD 1088) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184936643
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JAMES ELTON FULLWOOD JR.Credential: DPM
Location Address447 N MAIN STPittsfield, ME 04967-3707
Mailing Address447 N Main StPittsfield, ME 04967-3707 · (207) 487-6455
Phone(207) 487-6455
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 12, 2010
Last NPPES UpdateJuly 29, 2013
✔ NPI 1184936643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in ME · POD 1088
447 N MAIN ST, Pittsfield, ME 04967
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Elton Fullwood Jr. Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759525835
PECOS Enrollment IDI20130911000026
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 Reassignment

Medicare enrollment records show James Fullwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebasticook Valley Health
Same address
Critical Access
447 N MAIN ST
Pittsfield, ME 04967
  • Reassigned Medicare billing, Maine enrollment
  • 140 clinicians in this Medicare group
NPI 1457461477 (207) 487-5141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEBASTICOOK VALLEY HEALTH
Medicare Defined Swing Bed Unit
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 848-5846
MAKAYLA MAXWELL RN
Registered Nurse (Medical-Surgical)
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-4000
STEVEN R BELL COTA-L
Occupational Therapy Assistant
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-9293
PINE TREE RADIOLOGY PA
Radiology (Diagnostic Radiology)
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-5141
DR. JOHN MICHAEL DEASON PHARMD
Pharmacist (Ambulatory Care)
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-4018
DEVIN J CROFT MD
Emergency Medicine
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-4063
SEBASTICOOK VALLEY HOSPITAL ASSOCIATES
General Acute Care Hospital (Critical Access)
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (207) 487-5141
DR. MOHAMMAD ABRAR SHAREEF M.D.
Family Medicine
447 N MAIN ST
PITTSFIELD, ME 04967
Somerset County (419) 324-6733

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 James Fullwood's NPI number?

The NPI number for James Fullwood is 1184936643. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is James Fullwood located?

James Fullwood practices at 447 N Main St, Pittsfield, ME 04967. The listed phone number is (207) 487-6455.

What is James Fullwood's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is James Fullwood enrolled in Medicare?

Yes. James Fullwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Fullwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fullwood reassigns Medicare benefits to Sebasticook Valley Health (Pittsfield, ME). The 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 James Fullwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fullwood accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list James Fullwood 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 James Fullwood affiliated with any hospitals?

According to CMS data, James Fullwood is affiliated with St Joseph Hospital and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for James Fullwood was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.