DR. CLIFFORD THOMAS FULTON MD
NPI 1508093030
Internal Medicine in Grand Rapids, MI
About Dr. Clifford Thomas Fulton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLIFFORD THOMAS FULTON MD (NPI 1508093030) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301094602) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Indiana University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Clifford Thomas 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.
Medicare Billing Reassignments
4Medicare enrollment records show Clifford Fulton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainwell, MI 49080
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Borgess Hospital
- 247 clinicians in this Medicare group
Kalamazoo, MI 49048
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 237 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Michigan enrollment
- 143 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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 Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MIAspirus Keweenaw Hospital And Clinics
Critical Access Hospitals · Laurium, MIOsf St Francis Hospital And Medical Group
Critical Access Hospitals · Escanaba, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
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 Clifford Fulton's NPI number?
The NPI number for Clifford Fulton is 1508093030. It was assigned to this individual provider in the NPPES registry on June 11, 2009.
Where is Clifford Fulton located?
Clifford Fulton practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-3139.
What is Clifford Fulton's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Clifford Fulton enrolled in Medicare?
Yes. Clifford 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.
Which organizations bill Medicare for Clifford Fulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Fulton reassigns Medicare benefits to 4 organizations: Beacon Kalamazoo Inc (Plainwell, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Hospitalist Medicine Physicians Of Michigan, PLLC (Adrian, MI) and Apogee Medical Group, Michigan, PC (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clifford Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Clifford Fulton affiliated with any hospitals?
According to CMS data, Clifford Fulton is affiliated with Uphs Marquette Dlp Hospital, Aspirus Keweenaw Hospital And Clinics and Osf St Francis Hospital And Medical Group.
When was this NPI record last updated?
The NPPES record for Clifford Fulton was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Clifford Thomas Fulton, MD · NPI 1508093030
Internal Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 11, 2009.
## Identity
- **NPI:** 1508093030 (Entity type: Individual)
- **Enumerated:** June 11, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301094602 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-3139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Beacon Kalamazoo Inc (NPI 1821045212, Plainwell, MI); Sound Inpatient Physicians-Michigan, PLLC (NPI 1093967861, Kalamazoo, MI); Hospitalist Medicine Physicians Of Michigan, PLLC (NPI 1013180181, Adrian, MI); Apogee Medical Group, Michigan, PC (NPI 1053655134, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508093030) · Data from the CMS NPPES public registry.