Clark J. Fullmer II, DPM
NPI 1649240557ActiveIndividual· Podiatrist, Foot & Ankle Surgery· Dickinson, ND
Podiatrist, Foot & Ankle Surgery (DPM) in Dickinson, North Dakota, trained at California School of Podiatric Medicine (class of 1995). In 2024 Medicare paid $57,880 for 296 patients, and Part D covered 237 of their prescriptions, 89% of them generic. Organogenesis Inc. was the largest of 3 companies reporting payments in 2025, $78.70 in all, mostly food and beverage.
Overview
| NPI | 1649240557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | Jan 24, 2006 |
| Last updated in NPPES | Aug 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 60 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 296 |
|---|---|
| Services billed | 4,155 across 45 procedure codes |
| Paid by Medicare | $57,880 |
Part D prescriptions in 2024
| Prescriptions (claims) | 237 · 317 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $3,536 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | California School of Podiatric Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Podiatry |
Medical groups
- Sanford BismarckBismarck, ND · 556 clinicians
- Omaha Therapy IncDickinson, ND · 65 clinicians
Hospital affiliations
- Chi St Alexius Health DickinsonDickinson, ND
- McKenzie County Healthcare Systems IncWatford City, ND
- Sanford Medical Center BismarckBismarck, ND
Industry payments (Open Payments)
- 2025$78.70 · 4 payments from 3 companies
- 2024$699.40 · 15 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Organogenesis Inc. | $34.99 | 1 |
| Kerecis Limited | $26.05 | 2 |
| Sioux Surgical Inc | $17.66 | 1 |
What the 2025 payments were for
- Food and Beverage$78.70 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records