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DR. JOHN GETTELFINGER M.D.
NPI 1720466394
Otolaryngology in Indianapolis, IN

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
1120 W MICHIGAN ST, SUITE 200, INDIANAPOLIS, IN 46202(317) 938-0092 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Gettelfinger M.d. NPPES

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

DR. JOHN GETTELFINGER M.D. (NPI 1720466394) is an individual otolaryngology provider in Indianapolis, Indiana, licensed in Indiana (01084291B) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Indiana University School Of Medicine (2020).

NPPES Registry Identity

NPI1720466394
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN GETTELFINGERCredential: M.D.
Location Address1120 W MICHIGAN ST, SUITE 200Indianapolis, IN 46202-5209
Mailing Address18000 River RdNoblesville, IN 46062-8329 · (317) 621-6673
Phone(317) 938-0092
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2020
Enumeration DateMay 14, 2015
Last NPPES UpdateJanuary 1, 2021
NPPES CertifiedJanuary 1, 2021
✔ NPI 1720466394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01084291B
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1120 W MICHIGAN ST, Indianapolis, IN 46202
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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

Dr. John Gettelfinger 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 ID5698086122
PECOS Enrollment IDI20200807001955
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 8

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
422 services47 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.
195 services129 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
90 services65 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.
76 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 20

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

GRETCHEN SUAREZ
Hospitalist
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
BRITTANY AMBER BAKER DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
NATHANIEL BLUCKER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694
AROOJ IMTIAZ AHMAD MD
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
WESTON HE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
DR. VICTORIA ANN JACUK DO
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7724
GRANT STELLINI
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2689
ANNIKA KATRIN OIE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694

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 John Gettelfinger's NPI number?

The NPI number for John Gettelfinger is 1720466394. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is John Gettelfinger located?

John Gettelfinger practices at 1120 W Michigan St Suite 200, Indianapolis, IN 46202. The listed phone number is (317) 938-0092.

What is John Gettelfinger's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Gettelfinger enrolled in Medicare?

Yes. John Gettelfinger 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 John Gettelfinger accept?

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

According to CMS data, John Gettelfinger is affiliated with Community Howard Regional Health Inc., Community Hospital Of Anderson And Madison County and Community Hospital North.

When was this NPI record last updated?

The NPPES record for John Gettelfinger was last updated on January 1, 2021. 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.