Dylan Todd Fulford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1620 8TH St
Wichita Falls, TX 76301-3108

Phone

(940) 764-5400

Fax

(940) 764-5454

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
• Electra Memorial Hospital Hospital, Electra, TX, CCN 451343

Merit-based Incentive Payment System (MIPS)

Final score

77.42 of 100Reported as group

Quality

66.99

Promoting interoperability

100

Improvement activities

40

Cost

57.73

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• Direct secure messaging: dfulford13771@unitedregional.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Regional Physician Group

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1407890775
  Medicare reassignment Care Compare group
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Electra Hospital District

  • Critical Access Hospital
  • Electra, TX
  • NPI 1871583153
  Care Compare affiliation
• Electra Hospital District

  • Land Ambulance
  • Electra, TX
  • NPI 1922190107

  Hospital

  Care Compare affiliation
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1003585381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089261",
            "telephone_number": "940-764-7230",
            "fax_number": "940-764-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 8TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013108",
            "telephone_number": "940-764-5400",
            "fax_number": "940-764-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "DYLAN",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Fritzsch, P.T.
• Sarah Ann Fritzsch, D.D.S.
• Angelique Frunzi
• Ya Wen Fuh, MD
• Thomas Drew Fulfer, COLO
• Amanda Rae Fulmer
• Christy S Funk, PA-C
• G & H Drugs, LLC
• Josane C. a. Gabriel, M.D.
• Gadam M. Rao,MD,PA

• Physician Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.