Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDRE BYARD STOVALL MD
NPI 1013988294
Radiology - Diagnostic Radiology in Fort Wayne, IN

Q: What is Andre Stovall's NPI number?

The NPI number for Andre Stovall is 1013988294. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Andre Stovall's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Andre Stovall was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment

5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818(260) 432-1568(260) 432-4969 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Jan 7, 2025, Jun 17, 2016 (3 updates tracked since 2016).

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About Dr. Andre Byard Stovall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRE BYARD STOVALL MD (NPI 1013988294) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (01046801A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1013988294

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. ANDRE BYARD STOVALLCredential: MD

Location Address5001 US HIGHWAY 30 W STE DFort Wayne, IN 46818-9701

Mailing AddressPo Box 80070Fort Wayne, IN 46898-0070 · (260) 432-1568 · Fax (260) 432-4969

Phone(260) 432-1568

Fax(260) 432-4969

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1992

Enumeration DateJanuary 27, 2006

Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1013988294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IN · 01046801A

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5001 US HIGHWAY 30 W STE D, Fort Wayne, IN 46818

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Secondary Practice Location 1

Location 11100 Reid PkwyRichmond, IN 47374-1157 · Phone (765) 983-3264 · Fax (765) 983-3260

Other Identifiers 3

Medicaid1013988294MI

Medicaid2030386OH

Medicaid200129240IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Paramount, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andre Byard Stovall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567524721

PECOS Enrollment IDI20090205000654, I20090930000378

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Andre Stovall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Radiology P C

5.9 mi

Diagnostic Radiology

7221 ENGLE RD STE 220
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana and Michigan enrollments
Medicare enrollment name: Summit Radiology PC
64 clinicians in this Medicare group

NPI 1073584587 (260) 432-1568

Kosciusko Medical Group LLC

33 mi

Family Medicine

2235 DUBOIS DR
Warsaw, IN 46580

Reassigned Medicare billing, Indiana enrollment
44 clinicians in this Medicare group

NPI 1932349594 (574) 267-8189

Henry County Memorial Hospital

63 mi

Family Medicine

3521 W PURDUE AVE
Muncie, IN 47304

Reassigned Medicare billing, Indiana enrollment
166 clinicians in this Medicare group

NPI 1609235142 (765) 284-1000

Ella E M Brown Charitable Circle

73 mi

Medical

420 S HILLSDALE ST
Homer, MI 49245

Reassigned Medicare billing, Michigan and Indiana enrollments
Also billed through NPI 1043660467 (Indiana)
168 clinicians in this Medicare group

NPI 1518159169 (517) 568-4481

X-Ray Physicians Of Shelbyville PC

112 mi

Diagnostic Radiology

2451 INTELLIPLEX DR
Shelbyville, IN 46176

Reassigned Medicare billing, Indiana and Michigan enrollments
27 clinicians in this Medicare group

NPI 1144351347 (317) 392-3211

American Oncology Partners PA

143 mi

Hematology & Oncology

3100 PLAZA PROPERTIES BLVD
Columbus, OH 43219

Reassigned Medicare billing, Indiana enrollment
77 clinicians in this Medicare group

NPI 1265929723 (614) 383-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

231 services231 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

231 services231 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

83 services72 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

66 services54 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

43 services41 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

21 services20 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

19 services15 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

19 services19 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

16 services16 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

15 services15 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

12 services12 patients

Screening 3d breast mammography 77063

12 services12 patients

Screening mammography 77067

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150075

Location303 S Main StBluffton, IN 46714 · Wells County

Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150150

Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County

Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230217

Location200 N MadisonMarshall, MI 49068 · Calhoun County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46818 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVEK K. SHARMA M.D.

Radiology (Diagnostic Radiology)