DAVID A GOERTZEN MD
NPI 1154329902
Orthopaedic Surgery in Fort Wayne, IN

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2018, Oct 10, 2018, Jun 11, 2018 (3 updates tracked since 2018).

About David A Goertzen Md NPPES

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

DAVID A GOERTZEN MD (NPI 1154329902) is an individual orthopaedic surgery provider in Fort Wayne, Indiana, licensed in Indiana (01041473A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154329902
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID A GOERTZENCredential: MD
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551 · Fax (260) 482-5060
Fax(260) 482-5060
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1989
Enumeration DateJuly 13, 2005
Last NPPES UpdateOctober 22, 20183 updates tracked since enumeration
NPI 1154329902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 01041473A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5050 N CLINTON ST, Fort Wayne, IN 46825

Secondary Practice Locations 3

Location 11500 Provident Dr Ste BWarsaw, IN 46580-3297 · Phone (574) 269-8301 · Fax (574) 269-8302
Location 211136 Parkview Circle DrFort Wayne, IN 46845-1730 · Phone (260) 484-8551 · Fax (260) 482-5060
Location 37920 W Jefferson BlvdFort Wayne, IN 46804-4168 · Phone (260) 484-8551 · Fax (260) 482-5060

Other Identifiers 2

Medicaid200097660IN
Other200023991IN · Rail Road Medicare

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

David A Goertzen 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 ID1153314307
PECOS Enrollment IDI20100720000546
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services42 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
41 services41 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
36 services28 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.
29 services26 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
20 services11 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%56 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%291 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825
Registered Nurse (Orthopedic)
5050 N CLINTON ST
FORT WAYNE, IN 46825

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 David Goertzen's NPI number?

The NPI number for David Goertzen is 1154329902. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is David Goertzen located?

David Goertzen practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is David Goertzen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Goertzen enrolled in Medicare?

Yes. David Goertzen 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 David Goertzen accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list David Goertzen 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 David Goertzen affiliated with any hospitals?

According to CMS data, David Goertzen is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Goertzen was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.