Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER FULTON OD
NPI 1770006991
Optometrist in Grimes, IA

Active since July 19, 2017PECOS Enrolled
241 SE DESTINATION DR STE 100, GRIMES, IA 50111(515) 986-1234 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2018, Jul 19, 2017 (2 updates tracked since 2017).

About Tyler Fulton Od NPPES

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

TYLER FULTON OD (NPI 1770006991) is an individual optometrist in Grimes, Iowa, licensed in Iowa (089178) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1770006991
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYLER FULTONCredential: OD
Location Address241 SE DESTINATION DR STE 100Grimes, IA 50111-1248
Mailing Address241 Se Destination Dr Ste 100Grimes, IA 50111-1248
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1770006991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IA · 089178✔ Licensed in IL · 046011134
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
241 SE DESTINATION DR STE 100, Grimes, IA 50111

Accepted Insurance

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

Tyler Fulton Od 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 ID9537429246
PECOS Enrollment IDI20180126002237
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Fulton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1451 SE 3RD ST., SUITE 400
Grimes, IA 50111
  • Reassigned Medicare billing, Iowa enrollment
  • 2 clinicians in this Medicare group
Optometrist
3945 MERLE HAY RD
Des Moines, IA 50310
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Eyecare Partners PC
  • 7 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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
65 services65 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
41 services41 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50111 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES

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

Optometrist
241 SE DESTINATION DR STE 100
GRIMES, IA 50111

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 Tyler Fulton's NPI number?

The NPI number for Tyler Fulton is 1770006991. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Tyler Fulton located?

Tyler Fulton practices at 241 SE Destination Dr Ste 100, Grimes, IA 50111. The listed phone number is (515) 986-1234.

What is Tyler Fulton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tyler Fulton enrolled in Medicare?

Yes. Tyler 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 Tyler Fulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Fulton reassigns Medicare benefits to 2 organizations: M J Howie Od PC (Grimes, IA) and Eyecare Partners, P.C. (Des Moines, IA). 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 Tyler Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Fulton accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 15 other insurers list Tyler 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.

When was this NPI record last updated?

The NPPES record for Tyler Fulton was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.