PETER A. JAKACKI MD
NPI 1669463089
Family Medicine in Fort Wayne, IN
About Peter A. Jakacki Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER A. JAKACKI MD (NPI 1669463089) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01052452A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peter A. Jakacki 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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Jakacki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 5
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, INParkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INSt Joseph Health System, LLC
Acute Care Hospitals · Fort Wayne, INKosciusko Community Hospital
Acute Care Hospitals · Warsaw, INDupont Hospital LLC
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 16
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
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 Peter Jakacki's NPI number?
The NPI number for Peter Jakacki is 1669463089. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Peter Jakacki located?
Peter Jakacki practices at 2512 E Dupont Rd Suite 210, Fort Wayne, IN 46825. The listed phone number is (260) 497-0084.
What is Peter Jakacki's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Peter Jakacki enrolled in Medicare?
Yes. Peter Jakacki 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.
Which organization bills Medicare for Peter Jakacki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Jakacki reassigns Medicare benefits to Lutheran Medical Group LLC (Fort Wayne, IN). The 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 Peter Jakacki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Jakacki accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Peter Jakacki 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 Peter Jakacki affiliated with any hospitals?
According to CMS data, Peter Jakacki is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, St Joseph Health System, LLC, Kosciusko Community Hospital and Dupont Hospital LLC.
When was this NPI record last updated?
The NPPES record for Peter Jakacki was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Peter A. Jakacki, MD · NPI 1669463089
Family Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1669463089 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01052452A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2512 E DUPONT RD, SUITE 210, Fort Wayne, IN 46825-1609
- **Phone:** (260) 497-0084 · **Fax:** (260) 484-2859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** October 1, 2020
- **Other identifiers:** Other P00989023 (IN); Other 000000183064; Medicaid 200347770 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1669463089) · Data from the CMS NPPES public registry.