PAT FOX FULGHAM M.D.
NPI 1295788206
Urology in Dallas, TX

Active since May 19, 2006PECOS Enrolled
100/100
CMS Quality Rating
8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231(214) 691-1902(214) 987-1845 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pat Fox Fulgham M.d. NPPES

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

PAT FOX FULGHAM M.D. (NPI 1295788206) is an individual urology provider in Dallas, Texas, licensed in Texas (F9454) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295788206
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePAT FOX FULGHAMCredential: M.D.
Location Address8230 WALNUT HILL LN, SUITE 700Dallas, TX 75231-4482
Mailing Address3600 Gaston Ave, Suite 1205Dallas, TX 75246-1800 · (214) 692-8262 · Fax (214) 696-4190
Fax(214) 987-1845
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1295788206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · F9454
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8230 WALNUT HILL LN, Dallas, TX 75231

Other Identifiers 8

Medicaid125757802TX
Medicare PIN86991KTX
Medicare PIN8J8731TX
Medicare UPINB22811
Medicaid125757801TX
Other340016187TX · Rrmcr Other
Other80402XBcbs Provider Id
OtherP00303398TX · Rrmcr

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 (PECOS)

Pat Fox Fulgham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,650 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers45 claims5,967 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers32 claims4,770 services$6.13 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier16 claims72 services$1.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse (Pain Management)
8230 WALNUT HILL LN, STE 320
DALLAS, TX 75231
Dermatology
8230 WALNUT HILL LN, SUITE 500
DALLAS, TX 75231
Specialist
8230 WALNUT HILL LN, SUITE 818
DALLAS, TX 75231
Internal Medicine (Rheumatology)
8230 WALNUT HILL LN, SUITE 614
DALLAS, TX 75231
Specialist/Technologist, Other (Electroneurodiagnostic)
8230 WALNUT HILL LN, SUITE 220
DALLAS, TX 75231
Urology
8230 WALNUT HILL LN, SUITE 700
DALLAS, TX 75231
Physician Assistant
8230 WALNUT HILL LN
DALLAS, TX 75231
Physician Assistant (Medical)
8230 WALNUT HILL LN, SUITE 610
DALLAS, TX 75231

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 Pat Fulgham's NPI number?

The NPI number for Pat Fulgham is 1295788206. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Pat Fulgham located?

Pat Fulgham practices at 8230 Walnut Hill Ln Suite 700, Dallas, TX 75231. The listed phone number is (214) 691-1902.

What is Pat Fulgham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pat Fulgham enrolled in Medicare?

Yes. Pat Fulgham is registered in the Medicare PECOS enrollment system.

What insurance does Pat Fulgham accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Pat Fulgham 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 Pat Fulgham was last updated on January 31, 2017. 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.