SCOTTY FULTON DO
NPI 1871097253
Emergency Medicine in Sandusky, OH

Q: What is Scotty Fulton's NPI number?

The NPI number for Scotty Fulton is 1871097253. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Scotty Fulton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Scotty Fulton was last updated on September 21, 2021. 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.

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment

71.56/100

CMS Quality Rating

1111 HAYES AVE, SANDUSKY, OH 44870(419) 557-7400 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 21, 2021, Sep 8, 2021, Aug 17, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Scotty Fulton Do NPPES

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

SCOTTY FULTON DO (NPI 1871097253) is an individual emergency medicine provider in Sandusky, Ohio, licensed in Ohio (34.014082) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Summa Western Reserve Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2018).

NPPES Registry Identity

NPI1871097253

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSCOTTY FULTONCredential: DO

Location Address1111 HAYES AVESandusky, OH 44870-3323

Mailing Address1111 Hayes AveSandusky, OH 44870-3323

Phone(419) 557-7400

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2018

Enumeration DateMarch 21, 2018

Last NPPES UpdateSeptember 21, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1871097253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 34.014082

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1111 HAYES AVE, Sandusky, OH 44870

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Company, Oscar Insurance Corporation of Ohio.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

Scotty Fulton Do 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 ID5395162077

PECOS Enrollment IDI20200826001258

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 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.

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.

190 services179 patients

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.

92 services90 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360150

Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County

Emergency services

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361316

Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.54

Improvement Activities

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.

LINDSAY DAMSCHRODER NP-C

Nurse Practitioner (Family)