James K. Fullerton, M.D.
Surgery Physician · Springfield, IL
James K. Fullerton, M.D. is a surgery physician with a practice address in Springfield, Illinois, and NPI 1760575229, issued on Oct 2, 2006. Check the license (Illinois 036-110732, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- James K. Fullerton
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036-110732 IL
Self-reported in NPPES; status is on the state search - Practice location
- 900 N 1St St, Springfield, IL 62702
- Phone
- (217) 528-7541
- Enumerated
- Oct 2, 2006
- Record last updated
- May 22, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (217) 744-2537
- Medicaid ID
- 036110732 IL
- Medicare enrollment
- Enrolled (PECOS I20040712000881); accepts Medicare assignment
- Medical or professional school
- Medical College Of Wisconsin, 1999
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,520 in Illinois → Look up another NPI →
Also registered at 900 N 1St St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Demi AlbrachtNurse Practitioner1598682296
- Neha Amin, M.D.Gynecology Physician1619974532
- Rachael Ashcraft, MDSurgery Physician1912152125
- Mary Atwood, R.N., ACNPAcute Care Nurse Practitioner1811945314
- Heather Beal, M.D.Obstetrics & Gynecology Physician1912940545
- Aaron Brewer, M.D.Surgery Physician1679794523
Verify James K. Fullerton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-110732Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
78% fewer Medicare Part D claims than the average surgery physician in 2024
32 Medicare Part D claims for 23 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $336.45
4 payments; by number, the most common kind was food and beverage; the largest payer was Medline Industries LP. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Springfield Clinic, LLPSpringfield, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James K. Fullerton among 1,520 surgery physician records in Illinois
James K. Fullerton, M.D. is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 64% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 43% of these records are
- Graduated1999 · median 2004 among the 650 with a school on file
- Record last updated2020 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
54 surgery physician records list a practice address in Springfield
They are 54 of the 4,997 NPPES records with a practice address in Springfield, and 1,520 surgery physician records in Illinois.
All 1,520 in Illinois → Every provider in Springfield → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Sajida Ahad, M.D.Springfield, IL 627021326024837
- Rachael Ashcraft, MDSpringfield, IL 627021912152125
- Aaron Brewer, M.D.Springfield, IL 627021679794523
- Max Hammer, M.D.Springfield, IL 627021477650794
- Eric High, M.D.Springfield, IL 627021629299599
- Orlando Icaza, M.D.Springfield, IL 627021669579991
- Mark Kuhnke, M.D.Springfield, IL 627021033210026
- Frances Lee, M.D.Springfield, IL 627021023436888
Common questions
What is James K. Fullerton, M.D.'s NPI number?
James K. Fullerton, M.D.'s National Provider Identifier (NPI) is 1760575229, issued on Oct 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James K. Fullerton, M.D. located?
The NPPES record lists a practice address at 900 N 1St St, Springfield, IL, 62702. Phone: (217) 528-7541. Providers update this record themselves, so call before visiting.
How can I verify James K. Fullerton, M.D.'s license?
NPPES lists Illinois license number 036-110732, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James K. Fullerton, M.D. prescribe under Medicare Part D?
In 2024, James K. Fullerton, M.D. had 32 Medicare Part D claims for 23 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is James K. Fullerton, M.D.'s MIPS final score?
The 2023 MIPS final score is 95 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.