JAY FAWVER MD
NPI 1164457404
Psychiatry & Neurology - Psychiatry in Angola, IN

Q: What is Jay Fawver's NPI number?

The NPI number for Jay Fawver is 1164457404. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Jay Fawver's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jay Fawver was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

81.23/100

CMS Quality Rating

301 E MAUMEE ST, ANGOLA, IN 46703(260) 667-5635(260) 665-8852 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2023, Oct 3, 2022, Jun 25, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Jay Fawver Md NPPES

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

JAY FAWVER MD (NPI 1164457404) is an individual psychiatry provider in Angola, Indiana, licensed in Indiana (01032403A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Indiana University School Of Medicine (1983).

NPPES Registry Identity

NPI1164457404

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJAY FAWVERCredential: MD

Location Address301 E MAUMEE STAngola, IN 46703-2012

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 266-6013

Phone(260) 667-5635

Fax(260) 665-8852

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1983

Enumeration DateJuly 12, 2006

Last NPPES UpdateNovember 8, 20235 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1164457404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IN · 01032403A

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

301 E MAUMEE ST, Angola, IN 46703

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Other Identifiers 1

Other000000490037IN · Anthem Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jay Fawver 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 ID5496701179

PECOS Enrollment IDI20050328000391

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.

Hospital Affiliations CMS Care Compare

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

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151315

Location416 E Maumee StAngola, IN 46703 · Steuben County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46703 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

$161.76 typical visit price

range $53.07 – $161.76

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

Most-billed visit code 99205

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

Other Providers at the Same Location NPPES 12

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

JAYNE S SLOAN NP

Nurse Practitioner