CLEM JOHN WEGMAN MD
NPI 1366936601
Family Medicine in Fort Wayne, IN

Q: What is Clem Wegman's NPI number?

The NPI number for Clem Wegman is 1366936601. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Clem Wegman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clem Wegman was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 20, 2018PECOS EnrolledAccepts Medicare Assignment

750 BROADWAY STE 350, FORT WAYNE, IN 46802(260) 423-2675(260) 423-6621 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Jul 26, 2021, Jun 21, 2021 and 2 more (5 updates tracked since 2018).

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About Clem John Wegman Md NPPES

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

CLEM JOHN WEGMAN MD (NPI 1366936601) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01082724A) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Ohio State University College Of Medicine (2018).

NPPES Registry Identity

NPI1366936601

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLEM JOHN WEGMANCredential: MD

Location Address750 BROADWAY STE 350Fort Wayne, IN 46802-1412

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(260) 423-2675

Fax(260) 423-6621

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2018

Enumeration DateJune 20, 2018

Last NPPES UpdateMay 17, 20225 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1366936601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01082724A✔ Licensed in IN · 11020177A

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 01082724A (IN)

Also ListedHospitalistTaxonomy 208M00000X · License 01082724A (IN)

750 BROADWAY STE 350, Fort Wayne, IN 46802

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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

Clem John Wegman 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 ID3870849631

PECOS Enrollment IDI20210804004132

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services49 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers17 claims17 services$13.38 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers35 claims35 services$80.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$27.65 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 20

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

AUSTIN TRUMP DO

Family Medicine