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DR. LORI J. FULTON M.D.
NPI 1427149582
Obstetrics & Gynecology in Jackson, MS

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.37/100
CMS Quality Rating
1963 W MCDOWELL RD, JACKSON, MS 39204(601) 372-3632(601) 372-7361 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lori J. Fulton M.d. NPPES

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

DR. LORI J. FULTON M.D. (NPI 1427149582) is an individual obstetrics & gynecology provider in Jackson, Mississippi, licensed in Mississippi (11357) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (1986).

NPPES Registry Identity

NPI1427149582
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LORI J. FULTONCredential: M.D.
Location Address1963 W MCDOWELL RDJackson, MS 39204-4217
Mailing Address1963 W Mcdowell RdJackson, MS 39204-4217 · (601) 372-3632 · Fax (601) 372-7361
Phone(601) 372-3632
Fax(601) 372-7361
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1986
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 24, 2014
✔ NPI 1427149582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MS · 11357
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1963 W MCDOWELL RD, Jackson, MS 39204
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Other Identifiers 3

Medicare UPINE46647MS
Medicare ID-Type Unspecified160000191MS
Medicaid00773211MS

Accepted Insurance

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

Dr. Lori J. Fulton M.d. 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 ID5799707287
PECOS Enrollment IDI20051227000623
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services150 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
138 services138 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
132 services132 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
42 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services34 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
33 services33 patients

Hospital Affiliations CMS Care Compare 4

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Central

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250072
Location1850 Chadwick DrJackson, MS 39204 · Hinds County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Merit Health Women's Hospital

Acute Care Hospitals · Flowood, MS
OwnershipProprietary
CMS Certification Number250136
Location1026 River Oaks DriveFlowood, MS 39232 · Rankin County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39204 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

77.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost24.58

Other Providers at the Same Location NPPES 2

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

LORI J. FULTON, M.D.
Obstetrics & Gynecology (Obstetrics)
1963 W MCDOWELL RD
JACKSON, MS 39204
Hinds County (601) 372-3634
MRS. LAURA LYNN KEYS N.P.-C
Nurse Practitioner (Family)
1963 W MCDOWELL RD
JACKSON, MS 39204
Hinds County (601) 372-3632

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 Lori Fulton's NPI number?

The NPI number for Lori Fulton is 1427149582. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Lori Fulton located?

Lori Fulton practices at 1963 W Mcdowell Rd, Jackson, MS 39204. The listed phone number is (601) 372-3632.

What is Lori Fulton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lori Fulton enrolled in Medicare?

Yes. Lori Fulton 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 Lori Fulton accept?

Health plans from UnitedHealthcare list Lori Fulton 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 Lori Fulton affiliated with any hospitals?

According to CMS data, Lori Fulton is affiliated with St Dominic-Jackson Memorial Hospital, Merit Health Central, Mississippi Baptist Medical Center and Merit Health Women's Hospital.

When was this NPI record last updated?

The NPPES record for Lori Fulton was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.