VICTOR H CEPEDA MD
NPI 1033524715
Internal Medicine - Infectious Disease in Fort Wayne, IN

Active since June 21, 2014PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
2231 CAREW ST, FORT WAYNE, IN 46805(260) 373-9935(260) 373-9926 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2023, Jul 13, 2023, Sep 14, 2021 and 4 more (7 updates tracked since 2016).

About Victor H Cepeda Md NPPES

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

VICTOR H CEPEDA MD (NPI 1033524715) is an individual infectious disease provider in Fort Wayne, Indiana, licensed in Indiana (01089236A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033524715
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameVICTOR H CEPEDACredential: MD
Location Address2231 CAREW STFort Wayne, IN 46805-4713
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 373-9926
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 21, 2014
Last NPPES UpdateSeptember 5, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1033524715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in IN · 01089236A Licensed in IL · 036.147979
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2231 CAREW ST, Fort Wayne, IN 46805

Other Identifiers 1

Medicaid036147979IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Victor H Cepeda 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 ID1355647314
PECOS Enrollment IDI20230616001236
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Critical Access Hospitals · Montpelier, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361327
Location909 East Snyder AvenueMontpelier, OH 43543 · Williams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Internal Medicine (Infectious Disease)
2231 CAREW ST
FORT WAYNE, IN 46805
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Internal Medicine (Infectious Disease)
2231 CAREW ST
FORT WAYNE, IN 46805
Psychiatry & Neurology (Neurology)
2231 CAREW ST
FORT WAYNE, IN 46805
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Pharmacist
2231 CAREW ST
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Cepeda's NPI number?

The NPI number for Victor Cepeda is 1033524715. It was assigned to this individual provider in the NPPES registry on June 21, 2014.

Where is Victor Cepeda located?

Victor Cepeda practices at 2231 Carew St, Fort Wayne, IN 46805. The listed phone number is (260) 373-9935.

What is Victor Cepeda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Victor Cepeda enrolled in Medicare?

Yes. Victor Cepeda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Victor Cepeda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Victor Cepeda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Victor Cepeda affiliated with any hospitals?

According to CMS data, Victor Cepeda is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Lagrange Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Victor Cepeda was last updated on September 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.