TIMOTHY FULLERTON
NPI 1295964195
Family Medicine in Mercer, PA

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
737 GREENVILLE RD, MERCER, PA 16137(724) 662-2650(724) 662-1338 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Mar 25, 2021, Jul 26, 2017 (3 updates tracked since 2017).

About Timothy Fullerton NPPES

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

TIMOTHY FULLERTON (NPI 1295964195) is an individual family medicine provider in Mercer, Pennsylvania, licensed in Pennsylvania (OS016025) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Horizon, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1295964195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY FULLERTON
Location Address737 GREENVILLE RDMercer, PA 16137-5070
Mailing Address100 Shenango Ave, P.o. Box 716Sharon, PA 16146-1503 · (724) 662-2650 · Fax (724) 662-1338
Fax(724) 662-1338
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateJuly 13, 2009
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1295964195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS016025
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
737 GREENVILLE RD, Mercer, PA 16137

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

Timothy Fullerton 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 ID1355599366
PECOS Enrollment IDI20120918000020
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.

Hospital Affiliations CMS Care Compare 2

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

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16137 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims52 services$5.53 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims68 services$1.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$56.40 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 7

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

Pharmacist
737 GREENVILLE RD
MERCER, PA 16137
Nurse Practitioner (Family)
737 GREENVILLE RD
MERCER, PA 16137
Nurse Practitioner (Family)
737 GREENVILLE RD
MERCER, PA 16137
Counselor (Mental Health)
737 GREENVILLE RD
MERCER, PA 16137
Clinic/Center (Federally Qualified Health Center (FQHC))
737 GREENVILLE RD
MERCER, PA 16137
Pharmacist
737 GREENVILLE RD
MERCER, PA 16137
Family Medicine
737 GREENVILLE RD
MERCER, PA 16137

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 Timothy Fullerton's NPI number?

The NPI number for Timothy Fullerton is 1295964195. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Timothy Fullerton located?

Timothy Fullerton practices at 737 Greenville Rd, Mercer, PA 16137. The listed phone number is (724) 662-2650.

What is Timothy Fullerton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Fullerton enrolled in Medicare?

Yes. Timothy 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 Timothy Fullerton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Timothy 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 Timothy Fullerton affiliated with any hospitals?

According to CMS data, Timothy Fullerton is affiliated with Upmc Horizon and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Fullerton was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.