SANDRA A KRIZMANICH MD
NPI 1609047026
Obstetrics & Gynecology - Obstetrics in Fort Wayne, IN

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment
64.2/100
CMS Quality Rating
7988 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-4400(260) 969-6898 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2016, Jun 24, 2016 (2 updates tracked since 2016).

About Sandra A Krizmanich Md NPPES

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

SANDRA A KRIZMANICH MD (NPI 1609047026) is an individual obstetrics provider in Fort Wayne, Indiana, licensed in Indiana (01069940A) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1609047026
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameSANDRA A KRIZMANICHCredential: MD
Location Address7988 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 969-6898
Fax(260) 969-6898
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateMarch 13, 2008
Last NPPES UpdateJanuary 31, 20182 updates tracked since enumeration
NPI 1609047026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in IN · 01069940A
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
7988 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 1

Medicaid201042800IN

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

Sandra A Krizmanich 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 ID4880864537
PECOS Enrollment IDI20110907001093
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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
123 services123 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
123 services123 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
75 services75 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.
34 services27 patients

Hospital Affiliations CMS Care Compare 3

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

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 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
$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.

64.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.94
Improvement Activities40
Cost28.44

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Obstetrics & Gynecology
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Colon & Rectal Surgery
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Obstetrics & Gynecology (Gynecology)
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Obstetrics & Gynecology
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Colon & Rectal Surgery
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner
7988 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 Sandra Krizmanich's NPI number?

The NPI number for Sandra Krizmanich is 1609047026. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Sandra Krizmanich located?

Sandra Krizmanich practices at 7988 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-4400.

What is Sandra Krizmanich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Sandra Krizmanich enrolled in Medicare?

Yes. Sandra Krizmanich 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 Sandra Krizmanich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sandra Krizmanich 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 Sandra Krizmanich affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Sandra Krizmanich was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.