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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ZACHARY J FULTON M.D.
NPI 1982676656
Family Medicine in Dixon, IL

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
86.72/100
CMS Quality Rating
403 E 1ST ST, DIXON, IL 61021(815) 285-5629(815) 285-5634 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Jul 30, 2026, Dec 1, 2017 and 1 more (4 updates tracked since 2016).

About Zachary J Fulton M.d. NPPES

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

ZACHARY J FULTON M.D. (NPI 1982676656) is an individual family medicine provider in Dixon, Illinois, licensed in Illinois (036111932) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982676656
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameZACHARY J FULTONCredential: M.D.
Location Address403 E 1ST STDixon, IL 61021-3116
Mailing Address403 E 1st StDixon, IL 61021-3116 · (815) 285-5629 · Fax (815) 285-5634
Phone(815) 285-5629
Fax(815) 285-5634
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2002
Enumeration DateFebruary 6, 2006
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1982676656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036111932
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036111932 (IL)
403 E 1ST ST, Dixon, IL 61021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000 · Fax (815) 599-7974
Location 21405 E 12th St Ste 200Mendota, IL 61342-9011 · Phone (815) 539-1710

Other Identifiers 1

Medicaid036111932IL

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

Zachary J Fulton M.d. 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 ID2961452131
PECOS Enrollment IDI20050125000991
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 4

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.

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.
190 services173 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services82 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.
42 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

86.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Improvement Activities40
Cost64.04

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$95.31 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.

SAAD BLANEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5533
KATHERINE SHAW BETHEA HOSPITAL
Psychiatric Unit
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
BRETT AUSTIN MCGOWAN M.D.
Obstetrics & Gynecology
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5461
MARIE NOWAK MD
Emergency Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
STACEY PENAFLOR
Physical Therapist
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DOROTHY BENNETT MD
Internal Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5629
VALARIE PFOUTZ APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
AUDRA DANIELLE WASHO APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 284-5710

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 Zachary Fulton's NPI number?

The NPI number for Zachary Fulton is 1982676656. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Zachary Fulton located?

Zachary Fulton practices at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 285-5629.

What is Zachary Fulton's specialty?

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

Is Zachary Fulton enrolled in Medicare?

Yes. Zachary 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.

Is Zachary Fulton affiliated with any hospitals?

According to CMS data, Zachary Fulton is affiliated with Fhn Memorial Hospital and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Fulton was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.