Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONNOR HOLCOMB
NPI 1679213078
Obstetrics & Gynecology in Fort Wayne, IN

Q: What is Connor Holcomb's NPI number?

The NPI number for Connor Holcomb is 1679213078. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Connor Holcomb's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Holcomb was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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 April 01, 2022PECOS Enrolled

7988 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-4400(260) 432-2723 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Connor Holcomb NPPES

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

CONNOR HOLCOMB (NPI 1679213078) is an individual obstetrics & gynecology provider in Fort Wayne, Indiana, licensed in Indiana (01098618A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679213078

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCONNOR HOLCOMB

Location Address7988 W JEFFERSON BLVDFort Wayne, IN 46804-4140

Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 432-2723

Phone(260) 432-4400

Fax(260) 432-2723

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 1, 2022

Last NPPES UpdateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1679213078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01098618A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7988 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Secondary Practice Location 1

Location 12518 E DuPont RdFort Wayne, IN 46825-1675 · Phone (260) 432-4400 · Fax (260) 432-2723

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Holcomb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587131370

PECOS Enrollment IDI20260429002868

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 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.

Other Providers at the Same Location NPPES 15

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

JESSICA LEFFERS FNP

Nurse Practitioner (Family)