DR. MITCHELL B STUCKY M.D.
NPI 1700991338
Family Medicine in Fort Wayne, IN

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 469-6602(260) 969-3065 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2022, Jun 9, 2022, Jul 28, 2021 (3 updates tracked since 2021).

About Dr. Mitchell B Stucky M.d. NPPES

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

DR. MITCHELL B STUCKY M.D. (NPI 1700991338) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01028697A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1978).

NPPES Registry Identity

NPI1700991338
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MITCHELL B STUCKYCredential: M.D.
Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 969-3065
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1978
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1700991338 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 · 01028697A
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.
3909 NEW VISION DR, Fort Wayne, IN 46845

Other Identifiers 3

Medicaid100055130IN
Other000000595590IN · Anthem
OtherP00698411IN · Medicare Rr

Accepted 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

Dr. Mitchell B Stucky M.d. 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 ID9830130780
PECOS Enrollment IDI20090107000063
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 5

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 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.
186 services135 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
38 services38 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.
28 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 2

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
11 suppliers33 claims79 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims20 services$0.91 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 20

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

Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Physician Assistant
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845

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 Mitchell Stucky's NPI number?

The NPI number for Mitchell Stucky is 1700991338. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Mitchell Stucky located?

Mitchell Stucky practices at 3909 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 469-6602.

What is Mitchell Stucky's specialty?

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

Is Mitchell Stucky enrolled in Medicare?

Yes. Mitchell Stucky 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 Mitchell Stucky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mitchell Stucky 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 Mitchell Stucky affiliated with any hospitals?

According to CMS data, Mitchell Stucky is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital and Parkview Whitley Hospital.

When was this NPI record last updated?

The NPPES record for Mitchell Stucky was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.