SCOTTY FULTON DO
NPI 1871097253
Emergency Medicine in Sandusky, OH
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 Lutheran Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2018).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Scotty Fulton reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 51 clinicians in this Medicare group
Oberlin, OH 44074
- Reassigned Medicare billing, Ohio enrollment
- 51 clinicians in this Medicare group
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Galion, OH 44833
- Reassigned Medicare billing, Ohio enrollment
- 252 clinicians in this Medicare group
Cuyahoga Falls, OH 44223
- Reassigned Medicare billing, Ohio enrollment
- 176 clinicians in this Medicare group
Willoughby, OH 44094
- Reassigned Medicare billing, Ohio enrollment
- 89 clinicians in this Medicare group
Napoleon, OH 43545
- Reassigned Medicare billing, Ohio enrollment
- 36 clinicians in this Medicare group
Dover, OH 44622
- Reassigned Medicare billing, Ohio enrollment
- 99 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital
Acute Care Hospitals · Cleveland, OHSumma Western Reserve Hospital
Acute Care Hospitals · Cuyahoga Falls, OHMercy Regional Medical Center
Acute Care Hospitals · Lorain, OHPhysician 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.
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.
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.
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 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.
Where is Scotty Fulton located?
Scotty Fulton practices at 1111 Hayes Ave, Sandusky, OH 44870. The listed phone number is (419) 557-7400.
What is Scotty Fulton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Scotty Fulton enrolled in Medicare?
Yes. Scotty 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 Scotty Fulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scotty Fulton reassigns Medicare benefits to 9 organizations: Lorain Emergency Physicians, LLC (Lorain, OH), Allen Emergency Physicians, LLC (Oberlin, OH), The Cleveland Clinic Foundation (Avon, OH), North Central Ohio Family Care Center, Inc (Galion, OH), Wrh Physicians, Inc. (Cuyahoga Falls, OH) 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 Scotty Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scotty Fulton accept?
Health plans from CareSource, Oscar Insurance Company and Paramount list Scotty 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 Scotty Fulton affiliated with any hospitals?
According to CMS data, Scotty Fulton is affiliated with Lutheran Hospital, Summa Western Reserve Hospital and Mercy Regional Medical Center.
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 5 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.
# Scotty Fulton, DO · NPI 1871097253
Emergency Medicine physician in Sandusky, Ohio. Individual provider, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1871097253 (Entity type: Individual)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 34.014082 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 HAYES AVE, Sandusky, OH 44870-3323
- **Phone:** (419) 557-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Lorain Emergency Physicians, LLC (NPI 1427760487, Lorain, OH); Allen Emergency Physicians, LLC (NPI 1841902814, Oberlin, OH); The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); North Central Ohio Family Care Center, Inc (NPI 1689822827, Galion, OH); Wrh Physicians, Inc. (NPI 1700025459, Cuyahoga Falls, OH); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Virginia Campus, class of 2018
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871097253) · Data from the CMS NPPES public registry.