Active NPI 1679664163 Individual Practitioner Male Practitioner

Dr. John M Fultz , MD

Internal Medicine • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Fultz, MD is a registered healthcare professional specializing in Internal Medicine in Evanston, IL. Practice services are available at 1314 CHURCH ST under active NPI credentials.

Frequently performed procedures and clinical services include chronic care management services, first, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1314 Church St

Evanston, IL 602013508

Telephone 7732756349

Fax 7732756385

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Evanston, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

180 Specialists

Practicing in Evanston, IL (7544 Statewide)

Telehealth Adoption Rate

14.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	48	17	$49.23	$43.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	410	50	$49.23	$43.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	190	14	$107.01	$93.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	96	12	$107.01	$93.49
99497 Advance care planning, first 30 minutes	41	40	$95.73	$81.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	12	$62.95	$55.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	34	12	$126.66	$110.71
99306 Initial nursing facility visit, typically 45 minutes per day	23	12	$195.42	$170.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$169.52	$148.01

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036042979

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036042979 (IL)

Commercial Insurance / Payer ID Clia Id Medicare

14D0876728 (IL)

Commercial Insurance / Payer ID Bcbs Ins Id

21608069 (IL)

Commercial Insurance / Payer ID Tax Id

363179161 (IL)

Commercial Insurance / Payer ID Railroad Medicare Id

792111199 (IL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2017

Registered at 1314 CHURCH ST, EVANSTON, IL 602013508 (Tel: 7732756349)

📍

Updated Business Mailing Address January 06, 2017

Registered at 1314 CHURCH ST, EVANSTON, IL 602013508 (Tel: 7732756349)

👤

Provider Name / Credentials Updated January 06, 2017

Recorded as JOHN FULTZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Internal Medicine (License #036042979 in IL)

🟢

Initial NPI Registration & Enumeration September 27, 2006

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: 1679664163

Entity Type:

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

Enumeration Date: September 27, 2006

Last Update: January 06, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1314 Church St

Evanston, IL 602013508

Phone: 7732756349

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.