From a cold start, my bed heats, my extruder heats, and then it begins printing. By the time it gets around the 3rd skirt loop on a fairly large part (210x105mm), its stopped extruding almost altogether.
Here's a pic of what the print looks like. By the time it started on the actual part, I was pushing the filament into the extruder by hand to make sure it's not just clogged.
I have taken the extruder assembly apart, and my extruder motor runs without issue, and I can hear it turning even while assembled when no plastic is coming out. The gears look good. I have also tried adjusting the tension screw.

Could the filament in the extruder be getting too hot? My extruder fan may be the issue, it is running, but it isn't as noisy as I remember it being before.
Any thoughts as to what else it might be? Thanks.