DR. PATRICK J. FULLERTON D.O.
NPI 1811039555
Pain Medicine - Pain Medicine in Mount Dora, FL

Active since February 12, 2007PECOS Enrolled
6909 OLD HIGHWAY 441 S STE 222, MOUNT DORA, FL 32757(352) 441-9803 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Aug 28, 2019, Apr 17, 2019 and 4 more (7 updates tracked since 2016).

About Dr. Patrick J. Fullerton D.o. NPPES

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

DR. PATRICK J. FULLERTON D.O. (NPI 1811039555) is an individual pain medicine provider in Mount Dora, Florida, licensed in Florida (OS8087) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811039555
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. PATRICK J. FULLERTONCredential: D.O.
Location Address6909 OLD HIGHWAY 441 S STE 222Mount Dora, FL 32757-7039
Mailing Address6909 Old Highway 441 S Ste 222Mount Dora, FL 32757-7039 · (352) 441-9803
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 12, 20257 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1811039555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in FL · OS8087
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS8087 (FL)
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS8087 (FL)
6909 OLD HIGHWAY 441 S STE 222, Mount Dora, FL 32757

Other Identifiers 2

Medicaid015379100FL
OtherOS8087FL · Medical License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick J. Fullerton D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

9

Medicare enrollment records show Patrick Fullerton reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1588 CITRUS MEDICAL CT
Ocoee, FL 34761
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
Family Medicine
2600 LAKE LUCIEN DR STE 112
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 288 clinicians in this Medicare group
Hospitalist
1414 KUHL AVE
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 191 clinicians in this Medicare group
Family Medicine
4501 13TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 151 clinicians in this Medicare group
Emergency Medicine
2200 OSPREY BLVD
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • 51 clinicians in this Medicare group
Emergency Medicine
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 231 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
114 services102 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32757 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
6909 OLD HIGHWAY 441 S STE 222
MOUNT DORA, FL 32757

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 Patrick Fullerton's NPI number?

The NPI number for Patrick Fullerton is 1811039555. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Patrick Fullerton located?

Patrick Fullerton practices at 6909 Old Highway 441 S Ste 222, Mount Dora, FL 32757. The listed phone number is (352) 441-9803.

What is Patrick Fullerton's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Patrick Fullerton enrolled in Medicare?

Yes. Patrick Fullerton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patrick Fullerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Fullerton reassigns Medicare benefits to 9 organizations: Muqeet Siddiqui, MD, LLC (Ocoee, FL), Rmed LLC (Maitland, FL), Central Florida Hospitalist Partners PA (Orlando, FL), Vmd Primary Providers Central Florida PLLC (Saint Cloud, FL), Polk Emergency Group LLC (Bartow, FL) and 4 more organizations, listed in the Medicare section above. 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 Patrick Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Fullerton accept?

Health plans from Oscar Health Maintenance Organization of Florida list Patrick Fullerton 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 Patrick Fullerton was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.