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DR. ERIC J. FULNECKY MD
NPI 1922176635
Internal Medicine - Infectious Disease in Springfield, MO

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
1900 S NATIONAL AVE, SUITE 2955, SPRINGFIELD, MO 65804(417) 820-3905(417) 820-3528 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Eric J. Fulnecky Md NPPES

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

DR. ERIC J. FULNECKY MD (NPI 1922176635) is an individual infectious disease provider in Springfield, Missouri, licensed in Missouri (2004006990) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1922176635
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ERIC J. FULNECKYCredential: MD
Location Address1900 S NATIONAL AVE, SUITE 2955Springfield, MO 65804-2265
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 820-3905
Fax(417) 820-3528
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 11, 2008
✔ NPI 1922176635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MO · 2004006990
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1900 S NATIONAL AVE, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 5

Other431560263Tricare
Medicare PIN919223268MO
Medicare UPINH21283MO
OtherP00207385Railroad Medicare
Medicaid209153907MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Eric J. Fulnecky 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 ID7618940610
PECOS Enrollment IDI20040818000000
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 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.
99 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services20 patients
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.
26 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

DR. MICHAEL P. SMITH-O'BRIEN MD
Obstetrics & Gynecology
1900 S NATIONAL AVE, SUITE 2970
SPRINGFIELD, MO 65804
Greene County (417) 820-3980
DR. DONALD W. MYEARS MD
Internal Medicine (Interventional Cardiology)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804
Greene County (417) 820-3911
JAMES R. EDEN PA-C
Physician Assistant
1900 S NATIONAL AVE, SUITE 1950
SPRINGFIELD, MO 65804
Greene County (417) 820-7250
ST JOHNS CLINIC INC
Durable Medical Equipment & Medical Supplies
1900 S NATIONAL AVE, SUITE 2900
SPRINGFIELD, MO 65804
Greene County (417) 820-3715
SOUBHAGYALAKSHMI PARVATHANENI MD
Internal Medicine (Cardiovascular Disease)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804
Greene County (417) 820-3911
DR. ROGER E. HUCKFELDT MD
Surgery
1900 S NATIONAL AVE, SUITE 1950
SPRINGFIELD, MO 65804
Greene County (417) 820-7250
DR. ROBERT L. SWORDS JR. MD
Internal Medicine (Infectious Disease)
1900 S NATIONAL AVE, SUITE 2955
SPRINGFIELD, MO 65804
Greene County (417) 820-3905
DR. SHARAD BANSAL MD
Internal Medicine (Cardiovascular Disease)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804
Greene County (417) 820-3911

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 Eric Fulnecky's NPI number?

The NPI number for Eric Fulnecky is 1922176635. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Eric Fulnecky located?

Eric Fulnecky practices at 1900 S National Ave Suite 2955, Springfield, MO 65804. The listed phone number is (417) 820-3905.

What is Eric Fulnecky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Eric Fulnecky enrolled in Medicare?

Yes. Eric Fulnecky 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 Eric Fulnecky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Eric Fulnecky 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 Eric Fulnecky affiliated with any hospitals?

According to CMS data, Eric Fulnecky is affiliated with Cox Medical Centers and Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Eric Fulnecky was last updated on July 11, 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.