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ERIN KAY JEFFERSON DO
NPI 1669767661
Family Medicine in Fort Wayne, IN

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
10215 AUBURN PARK DR, FORT WAYNE, IN 46825(260) 234-5400(260) 234-5110 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Apr 24, 2024, Feb 7, 2024 and 4 more (7 updates tracked since 2019).

About Erin Kay Jefferson Do NPPES

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

ERIN KAY JEFFERSON DO (NPI 1669767661) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (02004168A) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669767661
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERIN KAY JEFFERSONCredential: DO
Location Address10215 AUBURN PARK DRFort Wayne, IN 46825-2387
Mailing Address10215 Auburn Park DrFort Wayne, IN 46825-2387 · (260) 234-5400 · Fax (260) 234-5110
Phone(260) 234-5400
Fax(260) 234-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 17, 2011
Last NPPES UpdateAugust 21, 20247 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1669767661 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 · 02004168A
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.
10215 AUBURN PARK DR, Fort Wayne, IN 46825
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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

Erin Kay Jefferson Do 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 ID4385894997
PECOS Enrollment IDI20140515000038
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 2

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.

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.
43 services23 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.
19 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware 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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.07
Promoting Interoperability93
Improvement Activities40
Cost70.54

Reported Quality Measures

Breast Cancer Screening
45%187 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
47%501 patients3/55-star benchmark: 88%
Diabetes: Eye Exam
22%271 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%271 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,777 patients4/55-star benchmark: 100%
e-Prescribing
99%309 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,039 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 61% · 1,077 patients
Patients screened: 71% · 1,077 patients
54%245 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
52%604 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

MARY JO GURA RN, WHNP-BC
Nurse Practitioner (Women's Health)
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 490-2229
DARLENE K HOOVER PA-C
Physician Assistant
10215 AUBURN PARK DR, SUITE B
FORT WAYNE, IN 46825
Allen County (260) 490-4673
KATHRYN BARRYE EINHAUS, M.D., P.C.
Obstetrics & Gynecology
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 490-2229
MS. CHRISTINE M HERMAN PA-C
Physician Assistant
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 234-5400
JAN MAGNO DE GUZMAN MD
Family Medicine (Adult Medicine)
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 234-5400
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 489-0937
JOAN LUTHER LMHC
Counselor (Mental Health)
10215 AUBURN PARK DR, SUITE 2
FORT WAYNE, IN 46825
Allen County (260) 490-4673
ANTHONY C HENRY DO
Family Medicine
10215 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 234-5400

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 Erin Jefferson's NPI number?

The NPI number for Erin Jefferson is 1669767661. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Erin Jefferson located?

Erin Jefferson practices at 10215 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 234-5400.

What is Erin Jefferson's specialty?

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

Is Erin Jefferson enrolled in Medicare?

Yes. Erin Jefferson 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 Erin Jefferson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Erin Jefferson 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 Erin Jefferson affiliated with any hospitals?

According to CMS data, Erin Jefferson is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Indiana University Health Ball Memorial Hospital and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Erin Jefferson was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.