Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Matthew Fulton

Surgery • Cincinnati, OH

Active NPI 1255561775 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3301 Mercy Health Blvd, Suite 525
Cincinnati, OH 452111118

Call 5138417700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3301 Mercy Health Blvd
Suite 525

Cincinnati, OH 452111118

Telephone 5138417700
Fax 5138417701
Organization at the Same NPPES Address or Phone
Oncology/ Hematology Care, Inc. Facility NPI 1508859869

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Oxford Physical Therapy And Rehabilitation; Tri State Urologic Services Psc Inc. 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 School

University Of Cincinnati College Of Medicine

Graduation Year

2009

Medicare patients

675 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $177,211 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.

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 – by Provider and Service, 2024.

Paid by Medicare

About $132,207 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

6,141 standardized 30-day fills in 2024

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

$884,888 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,524.29 across 73 records.

By nature of payment

  • Food and Beverage: $2,524.29 across 73 records.

Reporting-company totals (3 largest of 28)

  • Calyxo, Inc.: $602.17 across 5 records.
  • Boston Scientific Corporation: $327.05 across 4 records.
  • Ferring Pharmaceuticals Inc.: $172.72 across 7 records.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional 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

2009

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.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Fulton 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Fulton 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Surgery in Cincinnati, OH (2024, 39 clinicians with data). Median for this group: 245. Middle half: 111 to 352.

More Medicare Part B services than 95% of clinicians listed under Surgery in Ohio (2024, 638 clinicians with data). Median for this group: 187. Middle half: 93 to 324.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Cincinnati, OH (2024, 39 clinicians with data). Median for this group: $27,020. Middle half: $12,976 to $47,015.

A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Ohio (2024, 638 clinicians with data). Median for this group: $22,357. Middle half: $10,121 to $39,971.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Surgery in Cincinnati, OH (2024, 39 clinicians with data). Median for this group: $20,192. Middle half: $9,778 to $35,422.

A higher Medicare payment amount than 95% of clinicians listed under Surgery in Ohio (2024, 638 clinicians with data). Median for this group: $17,017. Middle half: $7,621 to $29,946.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Cincinnati, OH (2024, 42 clinicians with data). Median for this group: 78. Middle half: 32 to 131.

More Part D prescriptions than 95% of clinicians listed under Surgery in Ohio (2024, 620 clinicians with data). Median for this group: 64. Middle half: 28 to 134.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Surgery in Cincinnati, OH (2024, 42 clinicians with data). Median for this group: $351. Middle half: $129 to $1,263.

A higher Part D drug cost than 95% of clinicians listed under Surgery in Ohio (2024, 620 clinicians with data). Median for this group: $364. Middle half: $119 to $1,687.

89 active clinicians are listed under Surgery with a practice address in Cincinnati, OH (1,249 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

3.4% of these 89 clinicians have the CMS telehealth indicator.

52.8% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 73 records totaling $2,524.29.

Manufacturer Payment Nature Product Type Amount ($)
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $264.00
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $158.50
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
— General $144.48
Boston Scientific Corporation
Food and Beverage
In-kind items and services
AMS 700 General $138.53
Histosonics, Inc.
Food and Beverage
Cash or cash equivalent
— General $134.52
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $130.95
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $114.80
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $67.28
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Kidney Stone Disease General $55.34
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $34.09
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $33.95
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $33.04
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $32.93
Teleflex LLC
Food and Beverage
In-kind items and services
UROLIFT General $32.54
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $30.81
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $30.34
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $29.20
Agiliti Health, Inc.
Food and Beverage
Cash or cash equivalent
Sonablate HIFU General $28.86
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $27.88
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $26.82
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $25.60
BIOTISSUE HOLDINGS INC.
Food and Beverage
In-kind items and services
— General $25.55
Teleflex LLC
Food and Beverage
In-kind items and services
UROLIFT General $25.26
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $25.05
Laborie Medical Technologies Corp.
Food and Beverage
Cash or cash equivalent
— General $23.95

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
633 460 $35.00 $16.55
81002 Urinalysis, manual test
623 439 $26.00 $3.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
562 403 $278.00 $126.90
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
171 38 $212.00 $63.10
84153 Psa (prostate specific antigen) measurement, total
160 141 $71.00 $18.02
51798 Ultrasound measurement of bladder capacity after voiding
143 112 $97.00 $10.77
36415 Insertion of needle into vein for collection of blood sample
125 107 $32.00 $8.58
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
108 101 $237.00 $89.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
101 101 $438.00 $162.71
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
97 32 $159.00 $48.12
52000 Diagnostic exam of bladder and urethra using an endoscope
70 69 $764.53 $77.82
51705 Simple change of bladder tube
69 25 $274.00 $95.22
76872 Ultrasound scan of pelvic region through rectum
49 49 $312.00 $32.60
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies
32 31 $723.00 $183.58
55700 Biopsy of prostate gland
30 30 $654.00 $131.10
87086 Bacterial colony count, urine
30 28 $70.00 $7.91
51741 Electronic assessment of bladder emptying
29 28 $254.00 $7.16
84154 Psa (prostate specific antigen) measurement, free
29 29 $85.00 $18.02
86316 Analysis for detection of tumor marker
29 29 $51.00 $20.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
29 28 $335.00 $131.79
52332 Insertion of stent in ureter using an endoscope
27 21 $1312.22 $154.54
82565 Blood creatinine level
25 25 $37.00 $5.02
84520 Urea nitrogen level to assess kidney function, quantitative
22 22 $29.00 $3.87
87088 Bacterial urine culture
20 19 $39.00 $7.93
84403 Testosterone (hormone) level, total
17 16 $101.00 $25.29

(top 25 shown)

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 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 1,146 79,325 $11,051.83 324
Finasteride Finasteride 483 40,784 $4,699.21 137
Myrbetriq Mirabegron 179 7,149 $107,502.76 50
Solifenacin Succinate Solifenacin Succinate 128 8,235 $4,781.97 36
Gemtesa Vibegron 108 4,800 $76,969.11 30
Orgovyx Relugolix 106 3,136 $282,833.16 12
Cephalexin Cephalexin 98 4,794 $966.73 58
Alfuzosin Hcl Er Alfuzosin Hcl 77 6,460 $1,253.61 22
Methenamine Hippurate Methenamine Hippurate 54 1,744 $3,112.85 —
Abiraterone Acetate Abiraterone Acetate 51 1,590 $222,104.24 —
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 48 616 $310.99 35
Prednisone Prednisone 45 1,650 $116.71 —
Ciprofloxacin Hcl Ciprofloxacin Hcl 45 486 $269.80 38
Testosterone Cypionate Testosterone Cypionate 39 1,491 $999.49 12
Doxazosin Mesylate Doxazosin Mesylate 28 2,520 $459.87 —
Fesoterodine Fumarate Er Fesoterodine Fumarate 27 1,410 $3,022.85 —
Oxybutynin Chloride Er Oxybutynin Chloride 26 1,980 $453.30 —
Oxybutynin Chloride Oxybutynin Chloride 24 1,268 $469.21 14
Potassium Citrate Er Potassium Citrate 24 1,920 $3,847.67 —
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 23 76 $58.52 22
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 22 138 $156.09 21
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 21 139 $309.07 20
Dutasteride Dutasteride 21 1,890 $901.51 —
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 16 62 $64.41 14
Chlorthalidone Chlorthalidone 16 1,440 $317.91 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MI 4301094972

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.

Urology

NUCC Taxonomy Code: 208800000X

License # reported to NPPES OH 35125792

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medicare Rr
CC2433 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20150714001294

Enrollment State Jurisdiction

OH

PECOS Control ID

3678705969

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Tri State Urologic Services Psc Inc

3301 Mercy Health Blvd, Cincinnati, OH 452111118

Phone: 5138417700

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Lindsey Flanagan , APRN

Nurse Practitioner - Acute Care

NPI 1831873058

Advanced Practice Registered Nurse

NPI 1952612954

Doctor of Medicine (M.D.)

Melissa Helton , NP-C

Nurse Practitioner - Family

NPI 1427561448

Nurse Practitioner (Certified)

NPI 1780620047

Doctor of Medicine (M.D.)

NPI 1902309842

Doctor of Medicine (M.D.)

NPI 1174569362

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated July 17, 2009.

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.

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NPI Administrative Meta

NPI Number: 1255561775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2009
Last Update: June 19, 2015
Sole Proprietor: No

Other Surgery Specialists in Cincinnati

All Surgery Specialists in Cincinnati

Mailing Address

2000 Joseph E Sanker Blvd

Cincinnati, OH 452121979

Phone: 5138417400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.