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GERARDO MANUEL HEREDIA MELERO M.D.
NPI 1174839401
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Fort Wayne, IN

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11123 PARKVIEW PLAZA DR STE 102, FORT WAYNE, IN 46845(260) 425-5240(260) 425-5245 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Jul 3, 2024, Jun 10, 2019 and 2 more (5 updates tracked since 2018).

About Gerardo Manuel Heredia Melero M.d. NPPES

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

GERARDO MANUEL HEREDIA MELERO M.D. (NPI 1174839401) is an individual urogynecology and reconstructive pelvic surgery provider in Fort Wayne, Indiana, licensed in Indiana (01099156A) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174839401
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameGERARDO MANUEL HEREDIA MELEROCredential: M.D.
Location Address11123 PARKVIEW PLAZA DR STE 102Fort Wayne, IN 46845-1707
Mailing Address125 E Maxwell St Ste 300Lexington, KY 40508-2678
Phone(260) 425-5240
Fax(260) 425-5245
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 24, 2010
Last NPPES UpdateMarch 19, 20265 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1174839401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Licenses✔ Licensed in IN · 01099156A✔ Licensed in KY · 50803
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 50803 (KY)
11123 PARKVIEW PLAZA DR STE 102, Fort Wayne, IN 46845
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1125 E Maxwell St Ste 140Lexington, KY 40508-2678 · Phone (859) 323-0005 · Fax (859) 323-0790
Location 2200 Hawkins Dr, Department of Obstetrics and GynecologyIowa City, IA 52242-1009 · Phone (319) 467-5297

Other Identifiers 1

Medicaid7100488350KY

Accepted Insurance

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

Gerardo Manuel Heredia Melero M.d. 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 ID648413583
PECOS Enrollment IDI20171026000279, I20260304000935
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 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.
49 services44 patients
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.
33 services24 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Repair of herniated rectum into vaginal wall 57250
This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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
$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
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

SONYA J LAGASSIE
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Allen County (260) 425-5420
LAUREN BRIANNE KINNIRY
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Allen County (260) 425-5240
SCOTT C BOYD MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Allen County (260) 425-5240
SARA K FORD-TERRY FNP-C
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Allen County (260) 425-5240

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 Gerardo Heredia Melero's NPI number?

The NPI number for Gerardo Heredia Melero is 1174839401. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Gerardo Heredia Melero located?

Gerardo Heredia Melero practices at 11123 Parkview Plaza Dr Ste 102, Fort Wayne, IN 46845. The listed phone number is (260) 425-5240.

What is Gerardo Heredia Melero's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Gerardo Heredia Melero enrolled in Medicare?

Yes. Gerardo Heredia Melero 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 Gerardo Heredia Melero accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Gerardo Heredia Melero 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 Gerardo Heredia Melero affiliated with any hospitals?

According to CMS data, Gerardo Heredia Melero is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Heredia Melero was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.