2026 NPPES data Gastroenterology Physician NPI 1548218118 M.D.
Verify on CMS →

Sam Fulp, M.D.

Gastroenterology Physician in Charlotte, North Carolina. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
897
Medicare Part D claims · 368 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sam Fulp, M.D. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 897 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
897
Part D claims, 2023
78%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Sam Fulp, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Sam Fulp, M.D. sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sam Fulp, M.D. writes more Part D claims than 56% of them and scores higher on MIPS quality than 12% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Sam Fulp, M.D.-Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Sam Fulp, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Sam Fulp, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Sam Fulp, M.D.?

Below national average

NPI registry status

Active

Issued 05/05/2006

NPI 1548218118

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

897 8% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Gastroenterology Physician compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker - 7.1%Clinical Social Worker7.1%Behavior Technician - 6.4%Behavior Technician6.4%Pharmacist - 5%Pharmacist5%Student in an Organized Health Care Education/Training Program - 4.5%Student in an Organized Health Care Education/Training Program4.5%Physical Therapist - 4.3%Physical Therapist4.3%Physician Assistant - 4.2%Physician Assistant4.2%Gastroenterology Physician - 0.3%Gastroenterology Physician0.3%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Sam Fulp, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

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

MIPS final score (Gastroenterology Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Gastroenterology Physician) - 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).

Sam Fulp, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 11430 RED RUST LN STE 201, Charlotte, NC, 28277, with a listed phone of (704) 377-4009. NPI 1548218118 was issued on 05/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fulp 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 897 prescription claims written by this provider, covering 368 Medicare beneficiaries and totaling roughly $419K in drug spend, split 22% brand-name and 78% generic by claim count. 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

11430 RED RUST LN STE 201
Charlotte, NC 28277

Provider Details

NPI 1548218118
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 05/05/2006

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 Sam Fulp, M.D. 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.

Charlotte Gastroenterology And Hepatology PLLC
Charlotte, NC

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

Brand vs generic prescribing mix · Typical

Sam Fulp, M.D. - brand share 22.0%
Gastroenterology Physician average

22% brand-name claims vs 78% generic, on 897 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.

897
Total Claims
$419K
Total Drug Cost
368
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,529
Total Day Supply
37,960
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$377K
Generic Drug Cost
$42K
Antibiotic Claims
69

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.21
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What Sam Fulp, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
120
Omeprazole
103
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
49
Xifaxan
Rifaximin
25
Dexlansoprazole Dr
Dexlansoprazole
22
Famotidine
19
Sucralfate
19
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
19
Ursodiol
18
Esomeprazole Magnesium
17

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

Gastroenterology Physician Overview

How Sam Fulp, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Sam Fulp, M.D.'s 897 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Fulp.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Sam Fulp, M.D.'s specialty?
Sam Fulp, M.D. specializes in Gastroenterology Physician and practices in Charlotte, North Carolina. Credentials: M.D..
How much does Sam Fulp, M.D. prescribe under Medicare Part D?
In 2023, Sam Fulp, M.D. wrote 897 Medicare Part D claims totaling $419K in drug costs for 368 beneficiaries.
What is Sam Fulp, M.D.'s Medicare quality score?
Sam Fulp, M.D. 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 Sam Fulp, M.D. located?
Sam Fulp, M.D. is located at 11430 RED RUST LN STE 201, Charlotte, NC, 28277. Phone: (704) 377-4009.
What is Sam Fulp, M.D.'s NPI number?
Sam Fulp, M.D.'s National Provider Identifier (NPI) is 1548218118, issued on 05/05/2006.
Does Sam Fulp, M.D. prescribe more brand-name or generic drugs?
Sam Fulp, M.D.'s prescribing is 22% brand-name and 78% generic drugs by claim count, with $377K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Sam Fulp, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Sam Fulp, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Peg 3350-Electrolyte. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sam Fulp, M.D. accept Medicare?
Sam Fulp, M.D. appears in CMS Medicare data with 897 Part D claims and 368 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sam Fulp, M.D.'s credentials?
Sam Fulp, M.D.'s NPI is 1548218118 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.