Deactivated NPI 1407853229 Deactivated / Inactive NPI Male Practitioner

Dr. Bennie Martin Fulbright , MD

Specialist • Fulton, KY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bennie Fulbright has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005

NPI Deactivation Date October 21, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Bennie Fulbright, MD was a registered Specialist practicing in Fulton, KY. Throughout an active medical career spanning 18 years, Dr. Fulbright provided care at the practice location at 2006 HOLIDAY LN until profile deactivation on 2023-10-21.

Historical Medicare Part B clinical services included hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2006 Holiday Ln
Ste. 300

Fulton, KY 420418468

Telephone 2704728120

Fax 2704728123

Associated Practice Facility / Clinic

🏢 Parkway Regional Medical Clinic Inc Facility NPI 1659370153

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fulton, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 36.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Fulton, KY (431 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.9% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,152	21	$13.85	$9.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	89	$110.00	$108.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg	149	34	$1.38	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	16	$2.50	$1.07
20610 Aspiration and/or injection of fluid from large joint	79	55	$110.00	$60.27
73562 X-ray of knee, 3 views	38	28	$65.00	$27.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$140.00	$104.46
73030 X-ray of shoulder, minimum of 2 views	20	16	$53.00	$22.64
73502 X-ray of hip, 2-3 views	13	11	$76.00	$31.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,296	18	$13.85	$10.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	326	65	$1.38	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	131	$110.00	$107.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	18	$2.50	$1.13
20610 Aspiration and/or injection of fluid from large joint	118	79	$110.00	$61.87
73562 X-ray of knee, 3 views	66	50	$65.00	$28.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$140.00	$105.21
73030 X-ray of shoulder, minimum of 2 views	34	23	$53.00	$22.89
73110 X-ray of wrist, minimum of 3 views	22	12	$64.00	$29.29
73502 X-ray of hip, 2-3 views	17	14	$76.00	$32.75
73630 X-ray of foot, minimum of 3 views	16	12	$53.00	$22.30
20550 Injection into tendon or ligament	16	14	$90.00	$48.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$150.00	$127.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	20	$13.85	$10.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg	338	70	$1.38	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	143	$110.00	$109.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	149	24	$2.50	$1.28
20610 Aspiration and/or injection of fluid from large joint	125	74	$110.00	$61.09
73562 X-ray of knee, 3 views	54	40	$65.00	$27.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$140.00	$106.25
73030 X-ray of shoulder, minimum of 2 views	27	17	$53.00	$22.19
73502 X-ray of hip, 2-3 views	20	17	$76.00	$31.61
73110 X-ray of wrist, minimum of 3 views	20	11	$64.00	$29.11
20550 Injection into tendon or ligament	15	12	$90.00	$53.19
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$80.00	$51.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	15	$13.85	$10.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg	444	77	$1.38	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	136	$110.00	$103.63
20610 Aspiration and/or injection of fluid from large joint	130	84	$110.00	$60.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	18	$2.50	$1.48
73562 X-ray of knee, 3 views	67	49	$65.00	$26.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$140.00	$102.14
73030 X-ray of shoulder, minimum of 2 views	26	23	$53.00	$20.89
73502 X-ray of hip, 2-3 views	22	19	$76.00	$30.64
20550 Injection into tendon or ligament	21	17	$90.00	$45.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,680	30	$13.85	$11.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg	497	88	$1.38	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	189	$110.00	$101.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	28	$2.50	$1.60
20610 Aspiration and/or injection of fluid from large joint	160	107	$110.00	$56.89
73562 X-ray of knee, 3 views	67	61	$65.00	$23.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$140.00	$100.06
73610 X-ray of ankle, minimum of 3 views	40	18	$57.00	$21.52
73030 X-ray of shoulder, minimum of 2 views	29	19	$53.00	$18.11
20550 Injection into tendon or ligament	29	23	$90.00	$42.38
73130 X-ray of hand, minimum of 3 views	23	19	$56.00	$21.52
73110 X-ray of wrist, minimum of 3 views	23	16	$64.00	$24.36
73630 X-ray of foot, minimum of 3 views	18	13	$53.00	$20.00
20605 Aspiration and/or injection of medium joint or joint capsule	18	14	$80.00	$38.42
73502 X-ray of hip, 2-3 views	17	14	$76.00	$27.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$150.00	$131.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,632	24	$13.85	$11.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	517	105	$1.38	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	184	$110.00	$97.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	206	33	$2.50	$1.81
20610 Aspiration and/or injection of fluid from large joint	187	115	$110.00	$54.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$140.00	$97.73
73562 X-ray of knee, 3 views	44	36	$65.00	$22.24
73030 X-ray of shoulder, minimum of 2 views	39	28	$53.00	$16.87
73630 X-ray of foot, minimum of 3 views	28	16	$53.00	$17.78
73502 X-ray of hip, 2-3 views	24	16	$76.00	$26.03
20550 Injection into tendon or ligament	24	20	$90.00	$47.47
73110 X-ray of wrist, minimum of 3 views	21	13	$64.00	$22.24
20605 Aspiration and/or injection of medium joint or joint capsule	18	13	$80.00	$42.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,777	29	$13.85	$12.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	769	128	$1.47	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	223	$110.00	$96.27
20610 Aspiration and/or injection of fluid from large joint	196	124	$110.56	$55.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	133	18	$3.03	$1.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$139.79	$95.89
73562 X-ray of knee, 3 views	32	28	$65.00	$22.69
20550 Injection into tendon or ligament	27	23	$90.00	$44.94
73030 X-ray of shoulder, minimum of 2 views	22	18	$53.00	$16.49
20605 Aspiration and/or injection of medium joint or joint capsule	19	16	$80.00	$43.33

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KY 39165

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. John Ragsdale , MD

Family Medicine

NPI 1114931813

Doctor of Medicine (M.D.)

Emily Jones , APRN

Nurse Practitioner - Family

NPI 1245536523

Advanced Practice Registered Nurse

Jay Swenney

Counselor - Mental Health

NPI 1548729254

Judy Smith , FNP-C

Nurse Practitioner - Family

NPI 1851394498

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

⚠️

NPI Profile Deactivated October 21, 2023

Record deactivated on October 21, 2023

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Specialist (License #31679 in TN)

✅

NPI Profile Active August 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2013

Registered at 2006 HOLIDAY LN, STE. 300, FULTON, KY 420418468 (Tel: 2704728120)

📍

Updated Business Mailing Address August 16, 2013

Registered at 2006 HOLIDAY LN, STE. 300, FULTON, KY 420418468 (Tel: 2704728120)

👤

Provider Name / Credentials Updated August 16, 2013

Recorded as BENNIE FULBRIGHT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2013

Specialist (License #39165 in KY)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1407853229

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: August 16, 2013

Deactivation Date: October 21, 2023

Update or Correct Profile

Mailing Address

2006 Holiday Ln, Ste. 300

Fulton, KY 420418468

Phone: 2704728120

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.