DR. JEFFREY E GLADD M.D.
NPI 1780685768
Family Medicine in Fort Wayne, IN

Active since August 02, 2005PECOS Enrolled
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825(260) 373-9965(260) 458-5664 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey E Gladd M.d. NPPES

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

DR. JEFFREY E GLADD M.D. (NPI 1780685768) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01056652) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780685768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY E GLADDCredential: M.D.
Location Address1234 E DUPONT RD, SUITE 3Fort Wayne, IN 46825-1545
Mailing Address10515 Illinois RdFort Wayne, IN 46814-9182 · (260) 373-9233 · Fax (260) 373-9219
Fax(260) 458-5664
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 22, 2009
NPI 1780685768 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 · 01056652
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.
1234 E DUPONT RD, Fort Wayne, IN 46825

Other Identifiers 13

Medicare PIN070860NNNIN
Other8194415IN · Cigna
OtherP00334586IN · Railroad Medicare
Other351972384039IN · Tricare
Medicare PIN070900IN
Medicare PIN070900 TIN
Other000000346257IN · Anthem
Other000000570551IN · Anthem
Medicaid200488620AIN
Other7059457IN · Aetna
Other15705IN · Php
Medicare PIN069860IIIIN
Medicare PIN135920 VIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeffrey E Gladd M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

Clinic/Center (Physical Therapy)
1234 E DUPONT RD, #7
FORT WAYNE, IN 46825
Dietitian, Registered
1234 E DUPONT RD, SUITE 1
FORT WAYNE, IN 46825
Specialist
1234 E DUPONT RD, STE 7
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD, SUITE 6
FORT WAYNE, IN 46825
Podiatrist
1234 E DUPONT RD, 2 1
FORT WAYNE, IN 46825
Specialist
1234 E DUPONT RD, STE 7
FORT WAYNE, IN 46825
Family Medicine
1234 E DUPONT RD, SUITE 5
FORT WAYNE, IN 46825
Dietitian, Registered
1234 E DUPONT RD
FORT WAYNE, IN 46825

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 Jeffrey Gladd's NPI number?

The NPI number for Jeffrey Gladd is 1780685768. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Jeffrey Gladd located?

Jeffrey Gladd practices at 1234 E Dupont Rd Suite 3, Fort Wayne, IN 46825. The listed phone number is (260) 373-9965.

What is Jeffrey Gladd's specialty?

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

Is Jeffrey Gladd enrolled in Medicare?

Yes. Jeffrey Gladd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Gladd was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.