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DR. GERALD A FULTON MD
NPI 1891897633
Family Medicine in Burton, MI

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
1096 S BELSAY RD, SUITE A, BURTON, MI 48509(810) 742-6100 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gerald A Fulton Md NPPES

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

DR. GERALD A FULTON MD (NPI 1891897633) is an individual family medicine provider in Burton, Michigan, licensed in Michigan (4301061397) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (1993).

NPPES Registry Identity

NPI1891897633
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GERALD A FULTONCredential: MD
Location Address1096 S BELSAY RD, SUITE ABurton, MI 48509-1948
Mailing Address1096 S Belsay Rd, Ste ABurton, MI 48509-1948 · (810) 742-6100 · Fax (810) 742-1742
Phone(810) 742-6100
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1993
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1891897633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301061397
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1096 S BELSAY RD, Burton, MI 48509
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Other Identifiers 3

Medicare UPING42309MI
Medicare ID-Type UnspecifiedM23560087MI
Medicaid3297845MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Gerald A Fulton Md 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 ID1557406709
PECOS Enrollment IDI20100226000758
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 6

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48509 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims36 services$4.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims17 services$0.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ADREA L GARDNER DPT
Physical Therapist
1096 S BELSAY RD, SUITE G
BURTON, MI 48509
Genesee County (888) 218-4045
DR. JAMES LUM DO
Family Medicine
1096 S BELSAY RD, SUITE D
BURTON, MI 48509
Genesee County (810) 743-3880
DR. PAUL H KARR JR. MD
Family Medicine
1096 S BELSAY RD, SUITE A
BURTON, MI 48509
Genesee County (810) 742-6100
ELLEN STEUDLE PT
Physical Therapist
1096 S BELSAY RD
BURTON, MI 48509
Genesee County (810) 743-1611
JASON M BURNS DPT
Physical Therapist
1096 S BELSAY RD, SUITE G
BURTON, MI 48509
Genesee County (888) 218-4045
MATTHEW S SCHROEDER DPT
Physical Therapist
1096 S BELSAY RD, STE G
BURTON, MI 48509
Genesee County (810) 743-1611
DENNIS J PANK MD
Family Medicine
1096 S BELSAY RD, STE C
BURTON, MI 48509
Genesee County (810) 743-3351
DR. FREMONT D HALBOTH MD
Family Medicine
1096 S BELSAY RD, SUITE F
BURTON, MI 48509
Genesee County (810) 742-9170

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 Gerald Fulton's NPI number?

The NPI number for Gerald Fulton is 1891897633. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Gerald Fulton located?

Gerald Fulton practices at 1096 S Belsay Rd Suite A, Burton, MI 48509. The listed phone number is (810) 742-6100.

What is Gerald Fulton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gerald Fulton enrolled in Medicare?

Yes. Gerald 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.

What insurance does Gerald Fulton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Gerald 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 Gerald Fulton affiliated with any hospitals?

According to CMS data, Gerald Fulton is affiliated with Henry Ford Health Hospital, Mclaren Flint and Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Fulton was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.