DR. DANIEL P. FULTON MD
NPI 1609003433
Internal Medicine - Infectious Disease in Ames, IA

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
1215 DUFF AVENUE, AMES, IA 50010(515) 239-4474(515) 956-4002 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel P. Fulton Md NPPES

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

DR. DANIEL P. FULTON MD (NPI 1609003433) is an individual infectious disease provider in Ames, Iowa, licensed in Iowa (40885) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and is a graduate of University Of Minnesota Medical School (2008).

NPPES Registry Identity

NPI1609003433
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. DANIEL P. FULTONCredential: MD
Location Address1215 DUFF AVENUEAmes, IA 50010-3014
Mailing Address1215 Duff AvenueAmes, IA 50010-3014 · (515) 239-4474 · Fax (515) 956-4002
Fax(515) 956-4002
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2008
Enumeration DateJune 19, 2009
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1609003433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in IA · 40885
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1215 DUFF AVENUE, Ames, IA 50010

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

Dr. Daniel P. 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 ID6709032287
PECOS Enrollment IDI20150721002076
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 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
295 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services93 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.
121 services94 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
115 services74 patients
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.
86 services77 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
86 services78 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50010 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

Internal Medicine
1215 DUFF AVENUE
AMES, IA 50010
Pediatrics
1215 DUFF AVENUE
AMES, IA 50010
Radiology (Diagnostic Radiology)
1215 DUFF AVENUE
AMES, IA 50010
Surgery
1215 DUFF AVENUE
AMES, IA 50010
Internal Medicine (Pulmonary Disease)
1215 DUFF AVENUE
AMES, IA 50010
Radiology (Diagnostic Radiology)
1215 DUFF AVENUE
AMES, IA 50010
Pediatrics
1215 DUFF AVENUE
AMES, IA 50010
Internal Medicine (Gastroenterology)
1215 DUFF AVENUE, MCFARLAND CLINIC. PC
AMES, IA 50010

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 Daniel Fulton's NPI number?

The NPI number for Daniel Fulton is 1609003433. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Daniel Fulton located?

Daniel Fulton practices at 1215 Duff Avenue, Ames, IA 50010. The listed phone number is (515) 239-4474.

What is Daniel Fulton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Daniel Fulton enrolled in Medicare?

Yes. Daniel 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 Daniel Fulton accept?

Health plans from Medica list Daniel 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 Daniel Fulton affiliated with any hospitals?

According to CMS data, Daniel Fulton is affiliated with Unitypoint Health - Marshalltown, Mary Greeley Medical Center and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Fulton was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.