Active NPI 1962409169 Individual Practitioner Male Practitioner

Dr. Mark A Fulton , MD

Neurological Surgery • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fulton, MD is a certified Neurological Surgery practicing in Melbourne, FL. With approximately 34 years of clinical experience since graduating from University Of Utah School Of Medicine in 1992, Dr. Fulton delivers high-quality medical care to the local community at 1251 S HICKORY ST.

Dr. Fulton maintains professional affiliations with Health First Medical Group, Llc, Health First Physician Specialties Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1251 S Hickory St

Melbourne, FL 329013221

Telephone 3214343420

Fax 3214343423

Associated Practice Facility / Clinic

🏢 Health First Physicians, Inc Facility NPI 1164474276

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +2.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Melbourne, FL (675 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fulton (34 Years) 34 Yrs

Melbourne Specialty Average (31.3 Years) 31.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	54	$180.00	$88.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	51	$112.00	$54.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$225.00	$109.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$351.00	$170.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$217.60	$77.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$439.78	$128.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$124.56	$48.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$255.00	$125.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$180.42	$88.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$225.47	$109.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$112.45	$55.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$377.80	$172.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$255.33	$119.60
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$2353.14	$1033.62
20931 Donor bone graft for spine surgery	13	13	$238.08	$107.70
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$365.92	$82.04
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3643.33	$1682.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	77	$182.03	$90.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$227.00	$111.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	40	$113.83	$55.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$409.82	$194.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$257.33	$127.38
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	14	$474.26	$225.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$338.44	$168.53
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$2360.13	$1117.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$287.13	$70.71
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$409.31	$101.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$225.45	$110.70
99213 Established patient office or other outpatient visit, typically 15 minutes	83	71	$181.41	$92.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$255.22	$130.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$110.42	$56.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$425.11	$202.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$338.71	$170.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$226.00	$72.49
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$411.00	$102.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$2361.00	$1008.40
20931 Donor bone graft for spine surgery	12	12	$260.17	$103.80
61781 Computer-assisted procedure inside brain	11	11	$519.09	$261.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$149.98	$75.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$216.15	$104.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	64	$90.96	$45.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$410.00	$208.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$331.08	$162.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$89.41	$40.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$159.17	$73.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	53	$90.00	$44.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$219.00	$109.02
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$149.00	$74.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$413.00	$206.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$333.00	$165.93
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$222.00	$104.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$149.00	$74.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	66	$87.00	$43.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	36	$148.95	$73.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	75	$409.00	$204.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$216.00	$103.97
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$145.00	$72.19
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$220.64	$102.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$330.00	$164.11
20931 Donor bone graft for spine surgery	13	12	$245.00	$121.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	58	$152.10	$72.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	75	$424.44	$203.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	57	$88.00	$42.84
99221 Initial hospital inpatient care per day, typically 30 minutes	68	68	$215.12	$102.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$218.02	$105.64
99213 Established patient office or other outpatient visit, typically 15 minutes	49	44	$146.98	$71.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$64.08	$39.30

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME105861

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001679400 (FL)

Commercial Insurance / Payer ID Medicare

CS864X (FL)

Commercial Insurance / Payer ID Medicare

CS864Y (FL)

Hospital & Practice Group Affiliations

Health First Medical Group, Llc

1251 Hickory St, Melbourne, FL 329013221

Phone: 3214343420

Health First Physician Specialties Inc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214347000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Denise Holloway , ARNP-BC

Nurse Practitioner - Adult Health

NPI 1245492040

ARNPBC

Kimberly Vonderlieth , PA

Physician Assistant - Surgical

NPI 1396917522

Physician Assistant

Dr. Nana Amiridze , MD, PhD

Radiology - Neuroradiology

NPI 1447246509

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kristin Moreno , PA-C, MPH

Physician Assistant - Surgical

NPI 1548745037

Physician Assistant (Certified), Master of Public Health

Dr. Wesley Griffitt , MD

Neurological Surgery

NPI 1821002684

Doctor of Medicine (M.D.)

Dr. Rafael Allende , MD

Neurological Surgery

NPI 1851347678

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 31, 2017

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3214341981)

📍

Updated Practice Location August 31, 2017

Registered at 1251 S HICKORY ST, MELBOURNE, FL 329013221 (Tel: 3214343420)

👤

Provider Name / Credentials Updated August 31, 2017

Recorded as MARK FULTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Neurological Surgery (License #ME105861 in FL)

✅

NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2016

Registered at 1251 S HICKORY ST, MELBOURNE, FL 329013221 (Tel: 3214343420)

📍

Updated Business Mailing Address December 02, 2016

Registered at 3466 N HARBOR CITY BLVD, MELBOURNE, FL 329355713 (Tel: 3214344600)

👤

Provider Name / Credentials Updated December 02, 2016

Recorded as MARK FULTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Neurological Surgery (License #ME105861 in FL)

🟢

Initial NPI Registration & Enumeration July 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962409169

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2005

Last Update: August 31, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3214341981

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.