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VANCE V VANDRAKE MD
NPI 1124064407
Internal Medicine - Gastroenterology in Fort Wayne, IN

Active since June 22, 2006PECOS Enrolled
81.23/100
CMS Quality Rating
11104 PARKVIEW CIRCLE DR, SUITE 310, FORT WAYNE, IN 46845(260) 266-5230(260) 266-5238 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vance V Vandrake Md NPPES

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

VANCE V VANDRAKE MD (NPI 1124064407) is an individual gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01030783) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124064407
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVANCE V VANDRAKECredential: MD
Location Address11104 PARKVIEW CIRCLE DR, SUITE 310Fort Wayne, IN 46845-1672
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-5230
Fax(260) 266-5238
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1124064407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IN · 01030783
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11104 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Other Identifiers 2

Medicaid0511995OH
Medicaid100355760IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vance V Vandrake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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.

MRS. ALYCE S YODER R.D., C.D.
Dietitian, Registered (Nutrition, Renal)
11104 PARKVIEW CIRCLE DR, SUITE 330
FORT WAYNE, IN 46845
Allen County (888) 543-6397
DR. CARL M WILLIAMS M.D.
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 373-9700
MANUEL A MARTINEZ MD
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR, SUITE 410
FORT WAYNE, IN 46845
Allen County (260) 266-5260
MRS. JESSIE M WHITEMAN FNP-C
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 494-3484
IRFAN MUNIR
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Allen County (260) 494-3484
ALLIED PHYSICIANS, INC.
Non-Pharmacy Dispensing Site
11104 PARKVIEW CIRCLE DR, SUITE 110
FORT WAYNE, IN 46845
Allen County (260) 460-3100
DR. KANAKAPURA VENKATAKRISHNA MD
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Allen County (260) 494-3484
DONNA M. LORNTZ NP
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5370

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 Vance Vandrake's NPI number?

The NPI number for Vance Vandrake is 1124064407. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Vance Vandrake located?

Vance Vandrake practices at 11104 Parkview Circle Dr Suite 310, Fort Wayne, IN 46845. The listed phone number is (260) 266-5230.

What is Vance Vandrake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vance Vandrake enrolled in Medicare?

Yes. Vance Vandrake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vance Vandrake was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.