Matthew Fulton
Surgery Physician · Cincinnati, OH
Matthew Fulton is a surgery physician with a practice address in Cincinnati, Ohio, and NPI 1255561775, issued on Jul 17, 2009. Check the license (Ohio 35125792, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Matthew Fulton
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 35125792 OH
4301094972 MI
Self-reported in NPPES; status is on the state search - Practice location
- 3301 Mercy Health Blvd, Cincinnati, OH 45211
- Phone
- (513) 841-7700
- Enumerated
- Jul 17, 2009
- Record last updated
- Jun 19, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (513) 841-7701
- Medicare enrollment
- Enrolled (PECOS I20150714001294); accepts Medicare assignment
- Medical or professional school
- University Of Cincinnati College Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,249 in Ohio → Look up another NPI →
Also registered at 3301 Mercy Health Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah Banfill, RNAdministrator Registered Nurse1538027164
- Chandler Bell, CNPGerontology Nurse Practitioner1912372194
- Elizabeth Burneka, CNPNurse Practitioner1831521418
- Alan Cordell, MDUrology Physician1316988108
- Diane Enzweiler, ARNPAdult Health Nurse Practitioner1760481113
- Ryan Flynn, M.D.Urology Physician1952612954
Verify Matthew Fulton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35125792Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
21.0 times the Medicare Part D claims of the average surgery physician in 2024
3,092 Medicare Part D claims for 767 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 43 claims were for opioids.
Most prescribed
- Tamsulosin Hcl1,146 claims
- Finasteride483 claims
- Myrbetriq179 claims
- Solifenacin Succinate128 claims
- Gemtesa108 claims
- Orgovyx106 claims
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 practice group's MIPS final score for 2023 (Medicare payment program): 98.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,566.22
114 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. 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 2 group practices
- Oxford Physical Therapy And RehabilitationMason, OH
- Tri State Urologic Services Psc IncCincinnati, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Matthew Fulton among 1,249 surgery physician records in Ohio
Matthew Fulton is one of 1,249 surgery physician records with a practice address in Ohio. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 56% of them.
- NPI issued2009 · 56% of these records are older, 41% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2009 · median 2006 among the 739 with a school on file
- Record last updated2015 · 61% 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 Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Ohio
There are 1,249 surgery physician records in Ohio.
All 1,249 in Ohio → Every provider in Cincinnati → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Matthew Funch, MDCincinnati, OH 452111790079564
- Justin Gibler, M.D.Cincinnati, OH 452111467748079
- Mark Jennings, M.D.Cincinnati, OH 452111578538955
- Gina Maccarone, MDCincinnati, OH 452111730474917
- Krishnamurthi Mahalingam, M.D.Cincinnati, OH 452111487636866
- Blake O'Connor, MDCincinnati, OH 452111467958587
- Anna Sobolewski, M.D.Cincinnati, OH 452111649245325
- Creighton Wright, MD, MBACincinnati, OH 452111275525560
Common questions
What is Matthew Fulton's NPI number?
Matthew Fulton's National Provider Identifier (NPI) is 1255561775, issued on Jul 17, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Fulton located?
The NPPES record lists a practice address at 3301 Mercy Health Blvd, Cincinnati, OH, 45211. Phone: (513) 841-7700. Providers update this record themselves, so call before visiting.
How can I verify Matthew Fulton's license?
NPPES lists Ohio license number 35125792, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Matthew Fulton prescribe under Medicare Part D?
In 2024, Matthew Fulton had 3,092 Medicare Part D claims for 767 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Matthew Fulton's MIPS final score?
The 2023 MIPS final score is 98.3 of 100, reported for the practice group. 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.