James Elton Fullwood Jr., DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD 1088 Issued in ME

Practice address

447 N Main St
Pittsfield, ME 04967-3707

Phone

(207) 487-6455

NPI assigned

Jul 12, 2010

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 ME

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477

  ME

  Medicare reassignment Care Compare group NPD
• Sebasticook Valley Health

  • Rural Health Clinic/Center
  • Unity, ME
  • NPI 1427181486
  Care Compare group NPD
• Sebasticook Valley Health

  • Medicare Defined Swing Bed Hospital Unit
  • Pittsfield, ME
  • NPI 1013176544
  Care Compare group
• Sebasticook Valley Health

  • Rural Health Clinic/Center
  • Pittsfield, ME
  • NPI 1063617744
  Care Compare group
• Sebasticook Valley Health

  • Rural Health Clinic/Center
  • Newport, ME
  • NPI 1295367803
  Care Compare group

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

• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477

  Hospital

  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545

  Hospital

  Care Compare affiliation

Specialty

Podiatry

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Sebasticook Valley Health 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313
• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score

89.98 of 100Reported as group

Quality

74.88

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1184936643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673707",
            "telephone_number": "207-487-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673707",
            "telephone_number": "207-487-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLWOOD",
        "first_name": "JAMES",
        "middle_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD 1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett E. Degrasse, LCPC
• Alexandria Dyke
• Eastern Maine Homecare
• Evergreen Assisted Living of Pittsfield
• Flint C. Reid O.D.
• Helen S Gallagher, M.A. CCC-SLP
• Meaghan Geroux, MS, RDN, LD
• Kyle Adam Gilson, ATC
• Caitlin Mackenzie Griffin, ATC
• Patrick Hapworth

• All providers in Pittsfield, ME
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.