BARBARA K FULTON MD
NPI 1477540094
Pathology - Pediatric Pathology in Grandville, MI

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
83.88/100
CMS Quality Rating
2990 FRANKLIN AVE SW, GRANDVILLE, MI 49418(616) 530-3344(616) 532-8040 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barbara K Fulton Md NPPES

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

BARBARA K FULTON MD (NPI 1477540094) is an individual pediatric pathology provider in Grandville, Michigan, licensed in Michigan (4301078082) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1477540094
Entity TypeIndividualFemale
Primary Taxonomy207ZP0213X
Provider Legal NameBARBARA K FULTONCredential: MD
Location Address2990 FRANKLIN AVE SWGrandville, MI 49418-3505
Mailing AddressPo Box 936Grandville, MI 49468-0936 · (616) 530-3344 · Fax (616) 532-8040
Fax(616) 532-8040
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1477540094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License Licensed in MI · 4301078082
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 4301078082 (MI)
2990 FRANKLIN AVE SW, Grandville, MI 49418

Other Identifiers 2

Medicaid4485320MI
Medicaid4485311MI

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

Barbara K Fulton Md 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 ID2163556796
PECOS Enrollment IDI20100817001443
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

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

83.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

Other Providers at the Same Location NPPES 11

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

Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418
Pathology (Cytopathology)
2990 FRANKLIN AVE SW
GRANDVILLE, MI 49418

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 Barbara Fulton's NPI number?

The NPI number for Barbara Fulton is 1477540094. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Barbara Fulton located?

Barbara Fulton practices at 2990 Franklin Ave SW, Grandville, MI 49418. The listed phone number is (616) 530-3344.

What is Barbara Fulton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Barbara Fulton enrolled in Medicare?

Yes. Barbara 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 Barbara Fulton accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Barbara 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 Barbara Fulton affiliated with any hospitals?

According to CMS data, Barbara Fulton is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Barbara Fulton was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.