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VERNON MAES D.O.
NPI 1366436172
Obstetrics & Gynecology in Goshen, IN

Active since September 07, 2005PECOS Enrolled
81.23/100
CMS Quality Rating
1111 LIGHTHOUSE LANE, GOSHEN, IN 46526(574) 533-0348(574) 533-0277 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2025, Aug 25, 2023, Feb 9, 2023 (3 updates tracked since 2023).

About Vernon Maes D.o. NPPES

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

VERNON MAES D.O. (NPI 1366436172) is an individual obstetrics & gynecology provider in Goshen, Indiana, licensed in Indiana (02002380A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Crossville, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1366436172
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameVERNON MAESCredential: D.O.
Location Address1111 LIGHTHOUSE LANEGoshen, IN 46526-3824
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(574) 533-0348
Fax(574) 533-0277
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1366436172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 02002380A✔ Licensed in TN · 6068
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 LIGHTHOUSE LANE, Goshen, IN 46526
Open in Google Maps ↗

Secondary Practice Location 1

Location 149 Cleveland St Ste 340Crossville, TN 38555-2854 · Phone (931) 459-7911

Other Identifiers 2

Medicaid200354410IN
MedicaidQ108996TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vernon Maes D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507819612
PECOS Enrollment IDI20260203000208
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vernon Maes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fort Sanders Perinatal Center
401 mi
Maternal & Fetal Medicine
501 19TH ST, STE 304
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 89 clinicians in this Medicare group
NPI 1003811381 (865) 541-2020
Quentin N Burdick Comprehensive Health Care Facility
841 mi
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
NPI 1952346934 (701) 477-6111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 5

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

JULIA A GAUTSCHE C.N.M.
Advanced Practice Midwife
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526
Elkhart County (574) 533-0348
FAIRHAVEN OBSTETRICS & GYNECOLOGY, INC
Obstetrics & Gynecology
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526
Elkhart County (574) 533-0348
RACHEL A JOHNS C.N.M.
Advanced Practice Midwife
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526
Elkhart County (574) 533-0348
MELISSA L BACH W.H.N.P.
Nurse Practitioner
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526
Elkhart County (574) 533-0348
KENNETH D PETERSEN M.D.
Obstetrics & Gynecology
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526
Elkhart County (574) 533-0348

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 Vernon Maes's NPI number?

The NPI number for Vernon Maes is 1366436172. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Vernon Maes located?

Vernon Maes practices at 1111 Lighthouse Lane, Goshen, IN 46526. The listed phone number is (574) 533-0348.

What is Vernon Maes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vernon Maes enrolled in Medicare?

Yes. Vernon Maes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vernon Maes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vernon Maes reassigns Medicare benefits to 2 organizations: Fort Sanders Perinatal Center (Knoxville, TN) and Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vernon Maes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vernon Maes accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Vernon Maes 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.

When was this NPI record last updated?

The NPPES record for Vernon Maes was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.