Dr. James K Fullerton , MD
Surgery โข Springfield, IL
900 N 1st St
Springfield, IL 627023749
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 2, 2006; this date does not establish years in practice.
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Published CMS data list 511 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 139 service units.
- 99204 โ New patient outpatient office visit: 58 service units.
- 99223 โ Initial hospital care with moderate level of medical decision making: 54 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 31 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Omeprazole โ 17 prescription fills, including refills.
- Tramadol Hcl โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Surgery in Springfield, IL (2024, 15 clinicians with data). Median for this group: 165. Middle half: 67 to 488.
More Medicare Part B services than 80% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 466 in 2020 to 511 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
900 N 1st St
Springfield, IL 627023749
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Springfield Clinic, Llp. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Medical College Of Wisconsin
1999
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
252 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $102,379 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $79,823 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
53 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$332 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $2,453.07 across 12 records.
By nature of payment
- Travel and Lodging: $1,704.86 across 3 records.
- Food and Beverage: $748.21 across 9 records.
Reporting-company totals
- Davol Inc.: $2,305.53 across 10 records.
- Micro-tech Endoscopy USA, Inc.: $101.25 across 1 record.
- Medtronic, Inc.: $46.29 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
27 years (graduated 1999)
CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Fullerton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Fullerton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Surgery in Springfield, IL (2024, 15 clinicians with data). Median for this group: 165. Middle half: 67 to 488.
More Medicare Part B services than 80% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Springfield, IL (2024, 15 clinicians with data). Median for this group: $28,475. Middle half: $6,252 to $68,660.
A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $32,979. Middle half: $12,408 to $58,178.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Surgery in Springfield, IL (2024, 15 clinicians with data). Median for this group: $21,667. Middle half: $4,824 to $53,466.
A higher Medicare payment amount than 90% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $24,820. Middle half: $9,412 to $45,065.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Fullerton are from 2023.
54 active clinicians are listed under Surgery with a practice address in Springfield, IL (1,523 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
3.7% of these 54 clinicians have the CMS telehealth indicator.
31.5% of these 54 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 10% from 466 in 2020 to 511 in 2024.
- 2020: 466
- 2021: 444
- 2022: 525
- 2023: 618
- 2024: 511
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Medicare-allowed amount
Medicare-allowed amount increased 15% from $88,828 in 2020 to $102,379 in 2024.
- 2020: $88,828
- 2021: $118,719
- 2022: $119,341
- 2023: $122,548
- 2024: $102,379
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Paid by Medicare
Paid by Medicare increased 13% from $70,365 in 2020 to $79,823 in 2024.
- 2020: $70,365
- 2021: $93,345
- 2022: $93,710
- 2023: $96,024
- 2024: $79,823
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 60% from 78 in 2016 to 31 in 2023.
- 2016: 78
- 2017: 26
- 2018: 28
- 2022: 13
- 2023: 31
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30-day fills
30-day fills decreased 43% from 93 in 2016 to 53 in 2023.
- 2016: 93
- 2017: 43
- 2018: 43
- 2022: 13
- 2023: 53
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Part D drug cost
Part D drug cost decreased 98% from $16,810 in 2016 to $332 in 2023.
- 2016: $16,810
- 2017: $210
- 2018: $317
- 2022: $42
- 2023: $332
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $160.25 in 2021 to $2,453.07 in 2025.
- 2021: $160.25
- 2022: $561.81
- 2023: $735.38
- 2024: $336.45
- 2025: $2,453.07
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 12 records totaling $2,453.07.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Davol Inc. |
Travel and Lodging
In-kind items and services
|
โ | General | $840.72 |
| Davol Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $503.90 |
| Davol Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $360.24 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $200.00 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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Phasix Mesh | General | $123.13 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $109.40 |
| Micro-tech Endoscopy USA, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $101.25 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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โ | General | $55.00 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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โ | General | $55.00 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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SIGNIA | General | $46.29 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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Phasix Mesh | General | $32.90 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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โ | General | $25.24 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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139 | 44 | $518.00 | $115.65 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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58 | 58 | $765.93 | $154.57 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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54 | 53 | $893.00 | $164.73 |
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43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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39 | 36 | $1715.18 | $123.15 |
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36415
Insertion of needle into vein for collection of blood sample
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35 | 35 | $8.40 | $8.10 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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28 | 23 | $411.86 | $88.40 |
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47563
Removal of gallbladder with x-ray study of bile ducts using an endoscope
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26 | 26 | $4059.15 | $724.93 |
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43264
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope
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25 | 22 | $2941.00 | $189.51 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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24 | 24 | $583.25 | $120.08 |
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49650
Repair of groin hernia using an endoscope
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17 | 17 | $4494.09 | $475.07 |
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43281
Repair of hernia of muscle at esophagus and stomach using an endoscope
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15 | 15 | $9170.00 | $1326.38 |
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43262
Incision of pancreatic outlet using a flexible endoscope
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14 | 14 | $2714.00 | $53.71 |
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36561
Insertion of central venous tube with port (5 years or older)
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13 | 12 | $5696.00 | $330.88 |
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77001
Fluoroscopic guidance for insertion or removal of central vein access device
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13 | 12 | $242.92 | $17.89 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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11 | 11 | $517.73 | $105.06 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 17 | 1,154 | $304.99 | โ |
| Tramadol Hcl | Tramadol Hcl | 14 | 62 | $27.34 | 14 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-22NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20040712000881
IL
9537147905
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Springfield Clinic, Llp
800 N 1st St, Springfield, IL 627023719
Phone: 2175287541
Springfield Clinic, Llp
1025 S 6th St, Springfield, IL 627032403
Phone: 2175287541
Springfield Clinic, Llp
800 E Carpenter St, Springfield, IL 627025324
Phone: 2175446464
Springfield Clinic, Llp
747 N Rutledge St, Springfield, IL 627026700
Phone: 2177572257
Springfield Clinic, Llp
775 Engineering Ave, Springfield, IL 627035909
Phone: 2175224300
Springfield Clinic, Llp
350 W Carpenter St, Springfield, IL 627024902
Phone: 2175250210
Springfield Clinic, Llp
747 N Rutlage Baylis Medical Bld, Springfield, IL 627026700
Phone: 2175457722
Springfield Clinic, Llp
2200 Wabash Ave, Springfield, IL 627045352
Phone: 2177870727
Springfield Clinic, Llp
900 N 1st St, Springfield, IL 627023749
Phone: 2175287541
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Pediatrics
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated October 02, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery Specialists in Springfield
- Dr. Diana Ioana Rapolti, MD
- Dr. Lorela Weise, MD
- Dr. Misty Lang, MD
- Dr. James Feimster, MD
- Dr. Charles Cavallo, MD
- Dr. Raveena Karthikeyan, MBBS
Mailing Address
1025 S 6th St
Springfield, IL 627032403
Phone: 2175287541