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DR. ANDREW J MULLALLY MD
NPI 1164860086
Family Medicine in Fort Wayne, IN

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10050 AUBURN PARK DR, FORT WAYNE, IN 46825(260) 432-6459(260) 240-5284 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2017, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Andrew J Mullally Md NPPES

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

DR. ANDREW J MULLALLY MD (NPI 1164860086) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01074259A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1164860086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW J MULLALLYCredential: MD
Location Address10050 AUBURN PARK DRFort Wayne, IN 46825-2389
Mailing Address10050 Auburn Park DrFort Wayne, IN 46825-2389 · (260) 432-6459 · Fax (260) 240-5284
Phone(260) 432-6459
Fax(260) 240-5284
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
✔ NPI 1164860086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01074259A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10050 AUBURN PARK DR, Fort Wayne, IN 46825
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Andrew J Mullally 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 ID6507080975
PECOS Enrollment IDI20140918000377
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 5

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 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.
134 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

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

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 Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb 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

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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$39.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims67 services$2.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers45 claims45 services$43.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JULIE ANN FUNFROCK DO
Family Medicine
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
CREDO HEALTH GROUP, LLC
Family Medicine
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
CASSANDRA KAISER
Physician Assistant (Medical)
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
NICHOLAS MARTIN LESCH PHYSICIAN ASSISTANT
Physician Assistant
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459

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 Andrew Mullally's NPI number?

The NPI number for Andrew Mullally is 1164860086. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Andrew Mullally located?

Andrew Mullally practices at 10050 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 432-6459.

What is Andrew Mullally's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Mullally enrolled in Medicare?

Yes. Andrew Mullally 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 Andrew Mullally accept?

Health plans from CareSource list Andrew Mullally 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 Andrew Mullally affiliated with any hospitals?

According to CMS data, Andrew Mullally is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Parkview Dekalb Hospital and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Andrew Mullally was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.