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PETER A. JAKACKI MD
NPI 1669463089
Family Medicine in Fort Wayne, IN

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
2512 E DUPONT RD, SUITE 210, FORT WAYNE, IN 46825(260) 497-0084(260) 484-2859 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2020, Jan 19, 2017, Jan 7, 2017 (3 updates tracked since 2017).

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

NPI1669463089
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER A. JAKACKICredential: MD
Location Address2512 E DUPONT RD, SUITE 210Fort Wayne, IN 46825-1609
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520
Phone(260) 497-0084
Fax(260) 484-2859
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1669463089 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 · 01052452A
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.
2512 E DUPONT RD, Fort Wayne, IN 46825
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Other Identifiers 3

OtherP00989023IN · Railroad Medicare
Other000000183064Blue Cross Blue Shield
Medicaid200347770IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID9830290212
PECOS Enrollment IDI20070730000419
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 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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
325 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
297 services65 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
244 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
208 services61 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.
139 services47 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
108 services42 patients

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, 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

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko 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 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.

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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers37 claims69 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims11 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers35 claims35 services$40.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$102.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers13 claims28 services$39.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims68 services$22.82 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 12

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

GITA S SINGH MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
SARA L SPEITH NP
Nurse Practitioner
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400
THOMAS E KOERNER MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
THOMAS G NILL MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
ASSOCIATED SURGEONS AND PHYSICIANS
Obstetrics & Gynecology
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400
JEROME LUDWIG MD
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
NORTHEAST INDIANA UROLOGY, PC
Urology
2512 E DUPONT RD, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 436-6667
JOHN T COWAN MD
Obstetrics & Gynecology
2512 E DUPONT RD, SUITE 200
FORT WAYNE, IN 46825
Allen County (260) 432-4400

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.

What insurance does Peter Jakacki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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 5 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.