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DR. SUSAN BLUMHAGEN FULLERTON M.D.
NPI 1811168032
Pediatrics in Trumbull, CT

Active since March 15, 2008PECOS Enrolled
44 OLD SAW MILL RD, TRUMBULL, CT 06611(203) 380-8605 Get Directions Write a Review

NPPES record last updated: March 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Susan Blumhagen Fullerton M.d. NPPES

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

DR. SUSAN BLUMHAGEN FULLERTON M.D. (NPI 1811168032) is an individual pediatrics provider in Trumbull, Connecticut, licensed in Connecticut (035896) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811168032
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN BLUMHAGEN FULLERTONCredential: M.D.
Location Address44 OLD SAW MILL RDTrumbull, CT 06611-3355
Mailing Address44 Old Saw Mill RdTrumbull, CT 06611-3355 · (203) 380-8605
Phone(203) 380-8605
Sole ProprietorYes
Enumeration DateMarch 15, 2008
✔ NPI 1811168032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 035896
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
44 OLD SAW MILL RD, Trumbull, CT 06611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Blumhagen Fullerton M.d. 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 Reassignment

Medicare enrollment records show Susan Fullerton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimus Health Care Inc
7.1 mi
Federally Qualified Health Center (FQHC)
82 GEORGE ST
Bridgeport, CT 06604
  • Reassigned Medicare billing, Connecticut enrollment
  • 132 clinicians in this Medicare group
NPI 1215207782 (203) 579-3881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06611 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Susan Fullerton's NPI number?

The NPI number for Susan Fullerton is 1811168032. It was assigned to this individual provider in the NPPES registry on March 15, 2008.

Where is Susan Fullerton located?

Susan Fullerton practices at 44 Old Saw Mill Rd, Trumbull, CT 06611. The listed phone number is (203) 380-8605.

What is Susan Fullerton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Fullerton enrolled in Medicare?

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

Which organization bills Medicare for Susan Fullerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Fullerton reassigns Medicare benefits to Optimus Health Care Inc (Bridgeport, CT). The 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 Susan Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Fullerton was last updated on March 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.