2026 NPPES data Podiatrist NPI 1023345956 DPM
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KARL FULKERT, DPM

Podiatrist in WORTHINGTON, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
169
Medicare Part D claims · 62 beneficiaries · Podiatrist avg: 304
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$200.88
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARL FULKERT, DPM is a Podiatrist ([object Object]) practicing in WORTHINGTON, Ohio with a Medicare Part D prescribing footprint of 169 claims across 62 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $200.88 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARL FULKERT, DPM reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 169 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KARL FULKERT, DPM at a glance

Below national average

NPI registry status

Active

Issued 11/13/2009

NPI 1023345956

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

169 44% vs specialty avg

2023 prescription claims

Specialty avg: 304

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Podiatrist compares to other specialties among Ohio providers

Ohio providers

Podiatrist share within Ohio

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within Ohio

Medicare quality performance — MIPS

KARL FULKERT, DPM's 2023 MIPS final score plotted against the Podiatrist national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Podiatrist) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Podiatrist) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KARL FULKERT, DPM is a Podiatrist provider practicing in WORTHINGTON, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1023345956. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KARL FULKERT, DPM appears in the CMS NPPES registry as a Podiatrist provider holding DPM credentials at 37 E WILSON BRIDGE RD, WORTHINGTON, OH, 43085, with a listed phone of (614) 885-8895. NPI 1023345956 was issued on 11/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FULKERT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 169 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $2K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 35.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

37 E WILSON BRIDGE RD
WORTHINGTON, OH 43085

Provider Details

NPI 1023345956
Specialty Podiatrist
Credentials DPM
Gender Male
NPI Issued 11/13/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARL FULKERT, DPM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

GENTLE FOOTCARE LLC
MARYSVILLE, OH
WORTHINGTON FOOT AND ANKLE LLC
COLUMBUS, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KARL FULKERT, DPM. Source: openpaymentsdata.cms.gov.

Total received

$201

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to KARL FULKERT, DPM. To verify KARL FULKERT, DPM's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KARL FULKERT, DPM — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 169 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

169
Total Claims
$2K
Total Drug Cost
62
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
191
Total Day Supply
3,134
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$450
Generic Drug Cost
$2K
Opioid Claims
60 (35.5% rate)
Antibiotic Claims
31

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.53
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
41
Gabapentin
23
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
16
Methylprednisolone
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Podiatrist Overview

How KARL FULKERT, DPM fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

KARL FULKERT, DPM's 169 claims are below the specialty average of 304.

Nearby Podiatrist Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as FULKERT.

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARL FULKERT, DPM's specialty?
KARL FULKERT, DPM specializes in Podiatrist and practices in WORTHINGTON, Ohio. Credentials: DPM.
How much does KARL FULKERT, DPM prescribe under Medicare Part D?
In 2023, KARL FULKERT, DPM wrote 169 Medicare Part D claims totaling $2K in drug costs for 62 beneficiaries.
What is KARL FULKERT, DPM's Medicare quality score?
KARL FULKERT, DPM has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL FULKERT, DPM located?
KARL FULKERT, DPM is located at 37 E WILSON BRIDGE RD, WORTHINGTON, OH, 43085. Phone: (614) 885-8895.
What is KARL FULKERT, DPM's NPI number?
KARL FULKERT, DPM's National Provider Identifier (NPI) is 1023345956, issued on 11/13/2009.
Does KARL FULKERT, DPM prescribe more brand-name or generic drugs?
KARL FULKERT, DPM's prescribing is 11% brand-name and 89% generic drugs by claim count, with $450 in brand drug costs.
Does KARL FULKERT, DPM prescribe opioids?
Yes, KARL FULKERT, DPM had 60 opioid claims in 2023 with an opioid prescribing rate of 35.5%.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does KARL FULKERT, DPM prescribe most often?
Based on 2023 Medicare Part D data, KARL FULKERT, DPM's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL FULKERT, DPM accept Medicare?
KARL FULKERT, DPM appears in CMS Medicare data with 169 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL FULKERT, DPM's credentials?
KARL FULKERT, DPM's NPI is 1023345956 with credentials DPM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology