GRETCHEN L CRAMPTON P.A.
NPI 1275536211
Physician Assistant in Fort Wayne, IN

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
80.66/100
CMS Quality Rating
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gretchen L Crampton P.a. NPPES

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

GRETCHEN L CRAMPTON P.A. (NPI 1275536211) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10000414A) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1275536211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRETCHEN L CRAMPTONCredential: P.A.
Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133
Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 436-8585
Fax(260) 436-8585
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 23, 2005
Last NPPES UpdateNovember 7, 2016
NPI 1275536211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10000414A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 4

Other000000335142Anthem
Other970011367Railroad Medicare
Medicare UPINP01850IN
Medicare PIN132560AAIN

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

Gretchen L Crampton P.a. 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 ID143364729
PECOS Enrollment IDI20100219000722
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 4

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
133 services123 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
113 services109 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.
83 services83 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.
46 services44 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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.

80.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.61
Promoting Interoperability84
Improvement Activities40
Cost70.28

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.

Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Therapist
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Durable Medical Equipment & Medical Supplies
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Orthopaedic Surgery
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Gretchen Crampton's NPI number?

The NPI number for Gretchen Crampton is 1275536211. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Gretchen Crampton located?

Gretchen Crampton practices at 7601 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-8686.

What is Gretchen Crampton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gretchen Crampton enrolled in Medicare?

Yes. Gretchen Crampton 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 Gretchen Crampton accept?

Health plans from CareSource list Gretchen Crampton 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 Gretchen Crampton affiliated with any hospitals?

According to CMS data, Gretchen Crampton is affiliated with Lutheran Hospital Of Indiana and St Joseph Health System, LLC.

When was this NPI record last updated?

The NPPES record for Gretchen Crampton was last updated on November 7, 2016. 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.