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CLAIRE FULLENKAMP PA-C
NPI 1215486667
Physician Assistant in Dayton, OH

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
30 E APPLE ST, STE NW 3300, DAYTON, OH 45409(937) 208-8394 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 2, 2016, Sep 27, 2016 (2 updates tracked since 2016).

About Claire Fullenkamp Pa-c NPPES

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

CLAIRE FULLENKAMP PA-C (NPI 1215486667) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.004832RX) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215486667
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLAIRE FULLENKAMPCredential: PA-C
Location Address30 E APPLE ST, STE NW 3300Dayton, OH 45409-2939
Mailing Address30 E Apple St, Ste Nw 3300Dayton, OH 45409-2939 · (937) 208-8394
Phone(937) 208-8394
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration
✔ NPI 1215486667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.004832RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 E APPLE ST, Dayton, OH 45409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Claire Fullenkamp Pa-c 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 ID4183909039
PECOS Enrollment IDI20170316001281
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 4

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

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.

JEFFREY R MILLARD MD
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AHMED MOHANDES MD
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AMBER MICHELLE SERNA FNP
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Montgomery County (937) 208-8394
KELLY M THOBE PA
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
PREMIER HEALTH SPECIALISTS INC
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Montgomery County (937) 208-5300
CRYSTAL GILLIGAN
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. FADI M TAYIM PH.D.
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DEBORAH LYNNE CONLEY RN
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Montgomery County (937) 208-6232

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 Claire Fullenkamp's NPI number?

The NPI number for Claire Fullenkamp is 1215486667. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Claire Fullenkamp located?

Claire Fullenkamp practices at 30 E Apple St Ste NW 3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Claire Fullenkamp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Claire Fullenkamp enrolled in Medicare?

Yes. Claire Fullenkamp 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 Claire Fullenkamp accept?

Health plans from CareSource list Claire Fullenkamp 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 Claire Fullenkamp affiliated with any hospitals?

According to CMS data, Claire Fullenkamp is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Fullenkamp was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.