DR. CYNTHIA GANNON MD
NPI 1649366360
Family Medicine in Fort Wayne, IN

Q: What is Cynthia Gannon's NPI number?

The NPI number for Cynthia Gannon is 1649366360. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Cynthia Gannon'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 Cynthia Gannon was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 04, 2006PECOS Enrolled

436 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 264-7711 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Mar 17, 2018, Nov 1, 2017 (3 updates tracked since 2017).

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About Dr. Cynthia Gannon Md NPPES

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

DR. CYNTHIA GANNON MD (NPI 1649366360) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01042254A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649366360

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CYNTHIA GANNONCredential: MD

Location Address436 E WASHINGTON BLVDFort Wayne, IN 46802-3210

Mailing Address436 E Washington BlvdFort Wayne, IN 46802-3210

Phone(260) 264-7711

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1649366360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01042254A

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.

436 E WASHINGTON BLVD, Fort Wayne, IN 46802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cynthia Gannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Other Providers at the Same Location NPPES 8

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

KEEGAN WILLIAMS

Social Worker (Clinical)