Active NPI 1770926933 Individual Practitioner Female Practitioner

Dr. Kelley Fulghum , MD

Internal Medicine • Murray, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kelley Fulghum, MD is a certified Internal Medicine practicing in Murray, UT. With approximately 13 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2013, Dr. Fulghum delivers high-quality medical care to the local community at 181 E MEDICAL TOWER DR.

Dr. Fulghum is affiliated with Ihc Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

181 E Medical Tower Dr

Murray, UT 841074886

Telephone 8014423059

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1558458752

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Murray, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -3.8 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

44 Specialists

Practicing in Murray, UT (700 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fulghum (13 Years) 13 Yrs

Murray Specialty Average (16.8 Years) 16.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	160	$289.00	$121.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	233	233	$376.00	$122.76
99213 Established patient office or other outpatient visit, typically 15 minutes	142	113	$205.00	$85.93
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	139	97	$36.50	$15.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	54	$405.00	$169.79
83036 Hemoglobin A1C level	62	46	$19.00	$9.52
G0008 Administration of influenza virus vaccine	61	59	$38.10	$30.87
90662 Influenza vaccine split virus, preservative free	49	49	$90.00	$81.82
90480 Admn sarscov2 vacc 1 dose	32	32	$55.00	$41.16
91320 Sarscv2 vac 30mcg trs-suc im	32	32	$240.00	$149.74
81003 Automated urinalysis test	18	15	$5.00	$2.20
G0009 Administration of pneumococcal vaccine	14	14	$36.86	$30.87
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	14	13	$78.00	$33.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$261.00	$255.78
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$88.00	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	241	241	$204.12	$122.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	142	$203.43	$121.73
99213 Established patient office or other outpatient visit, typically 15 minutes	173	137	$143.65	$85.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	50	$282.45	$170.78
83036 Hemoglobin A1C level	58	46	$19.00	$9.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	54	54	$88.15	$73.99
G0008 Administration of influenza virus vaccine	52	52	$38.38	$28.77
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	30	30	$261.00	$255.78
G0009 Administration of pneumococcal vaccine	28	28	$55.00	$29.33
81003 Automated urinalysis test	25	21	$5.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$207.72	$124.15
99213 Established patient office or other outpatient visit, typically 15 minutes	250	187	$121.86	$87.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	146	$175.23	$121.79
G0008 Administration of influenza virus vaccine	78	77	$44.72	$27.87
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	77	76	$89.58	$70.15
85610 Blood test, clotting time	69	11	$6.74	$4.24
93793 Anticoagulant management of patient taking warfarin	58	13	$27.00	$10.85
83036 Hemoglobin A1C level	56	48	$19.00	$9.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	37	$242.11	$173.88
0124A Fee covid-19 vac 13 res	26	26	$60.01	$36.86
G0009 Administration of pneumococcal vaccine	17	17	$34.00	$28.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$261.00	$257.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	178	$171.00	$124.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	261	261	$219.00	$127.70
99213 Established patient office or other outpatient visit, typically 15 minutes	228	175	$116.00	$88.23
G0008 Administration of influenza virus vaccine	93	91	$34.00	$15.98
85610 Blood test, clotting time	90	11	$8.00	$4.29
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	88	87	$74.00	$65.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	60	$232.00	$175.38
93793 Anticoagulant management of patient taking warfarin	68	12	$27.00	$11.05
G0009 Administration of pneumococcal vaccine	15	15	$34.00	$16.16
0004A Fee covid-19 vac 1 res	13	13	$60.00	$37.92
91300 Sarscov2 vac 30mcg/0.3ml im	13	13	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	154	$171.00	$105.44
99213 Established patient office or other outpatient visit, typically 15 minutes	260	186	$115.60	$71.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$260.00	$111.28
85610 Blood test, clotting time	116	13	$8.00	$4.26
93793 Anticoagulant management of patient taking warfarin	98	17	$30.00	$11.48
G0008 Administration of influenza virus vaccine	86	86	$33.98	$16.22
83036 Hemoglobin A1C level	85	59	$18.00	$9.54
90662 Influenza vaccine split virus, preservative free	82	82	$76.87	$60.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	31	$230.59	$138.55
G0009 Administration of pneumococcal vaccine	32	32	$33.00	$15.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$157.00	$115.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	186	$171.00	$105.51
99213 Established patient office or other outpatient visit, typically 15 minutes	253	179	$116.00	$72.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	201	201	$260.00	$114.20
85610 Blood test, clotting time	118	15	$17.00	$4.28
G0444 Annual depression screening, 5 to 15 minutes	114	114	$29.00	$17.42
G0008 Administration of influenza virus vaccine	111	110	$33.00	$15.91
90662 Influenza vaccine split virus, preservative free	103	103	$65.92	$54.84
83036 Hemoglobin A1C level	100	68	$27.00	$10.46
93793 Anticoagulant management of patient taking warfarin	80	15	$30.00	$11.91
G0009 Administration of pneumococcal vaccine	66	66	$33.00	$15.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	34	$232.00	$143.64
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$152.08	$111.24
90670 Pneumococcal vaccine for injection into muscle	32	32	$287.03	$208.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$264.00	$162.72
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$293.00	$164.10
96127 Assessment of emotional or behavioral problems	12	12	$11.00	$5.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$289.00	$169.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	185	$170.00	$103.08
99213 Established patient office or other outpatient visit, typically 15 minutes	233	165	$115.25	$69.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	182	182	$260.00	$112.94
85610 Blood test, clotting time	140	16	$17.00	$4.75
G0008 Administration of influenza virus vaccine	108	105	$32.94	$19.13
90662 Influenza vaccine split virus, preservative free	105	102	$61.01	$51.22
83036 Hemoglobin A1C level	78	61	$27.00	$10.85
G0009 Administration of pneumococcal vaccine	72	72	$32.63	$19.49
93793 Anticoagulant management of patient taking warfarin	51	15	$30.00	$11.73
90670 Pneumococcal vaccine for injection into muscle	42	42	$252.00	$199.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$118.67	$105.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$232.00	$138.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	12	$32.00	$20.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	11	$43.00	$19.63
71046 X-ray of chest, 2 views	11	11	$42.00	$18.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	190	$170.06	$101.95
85610 Blood test, clotting time	113	22	$17.00	$5.28
G0008 Administration of influenza virus vaccine	86	86	$30.00	$23.68
90662 Influenza vaccine split virus, preservative free	81	81	$54.00	$47.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	48	$232.00	$136.24
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$115.00	$67.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$260.00	$111.51
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$23.96
83036 Hemoglobin A1C level	16	15	$27.00	$13.05

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 9149493-1205

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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

181 E Medical Tower Dr, Murray, UT 841074872

Phone: 8013144266

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Graham Mooy , MD

Emergency Medicine

NPI 1063703668

Doctor of Medicine (M.D.)

Dr. Shaun Odell , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1366686545

Doctor of Medicine (M.D.)

Dr. Michael Grant , MD

Hospitalist

NPI 1386748986

Doctor of Medicine (M.D.)

Dr. Nicole Summers , DO

Family Medicine

NPI 1467753798

Doctor of Osteopathic Medicine (D.O.)

Rachel Lowe , PA-C

Physician Assistant

NPI 1609308774

Physician Assistant (Certified)

Dr. Bennett Mohlman , DO

Internal Medicine

NPI 1851703524

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2017

Registered at 181 E MEDICAL TOWER DR, MURRAY, UT 841074886 (Tel: 8014423059)

📍

Updated Business Mailing Address May 23, 2017

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001

👤

Provider Name / Credentials Updated May 23, 2017

Recorded as KELLEY FULGHUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Internal Medicine (License #9149493-1205 in UT)

✅

NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2013

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001 (Tel: 8015812121)

📍

Updated Business Mailing Address April 08, 2013

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001

👤

Provider Name / Credentials Updated April 08, 2013

Recorded as KELLEY FULGHUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 08, 2013

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: 1770926933

Entity Type:

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

Enumeration Date: April 08, 2013

Last Update: May 23, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

50 N Medical Dr

Salt Lake City, UT 841320001

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.