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

Active since August 02, 2005Opted out of Medicare · through Aug 1, 2026
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: July 19, 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 has opted out of Medicare through August 1, 2026 and remains eligible to order and refer.

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
Phone(260) 373-9965
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
Open in Google Maps ↗

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

ⓘ

Opted out of Medicare

Dr. Jeffrey E Gladd M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2010 through August 1, 2026.

Opt-Out Effective DateAugust 1, 2010
Opt-Out In Effect ThroughAugust 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DR. MICHAEL STEVEN WORPELL DPM
Podiatrist
1234 E DUPONT RD, 2 1
FORT WAYNE, IN 46825
Allen County (260) 416-0070
DR. PHILIP W GARDNER DDS
Dentist
1234 E DUPONT RD, STE 4
FORT WAYNE, IN 46825
Allen County (260) 490-3495
MRS. JUDY LAGRANGE PT
Specialist
1234 E DUPONT RD, STE 7
FORT WAYNE, IN 46825
Allen County (260) 490-0940
MRS. MARY KAY SOLON PT
Specialist
1234 E DUPONT RD, STE 7
FORT WAYNE, IN 46825
Allen County (260) 490-0940
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
1234 E DUPONT RD, #7
FORT WAYNE, IN 46825
Allen County (260) 490-0940
DR. JONATHAN PAUL GENTILE M.D.
Family Medicine
1234 E DUPONT RD, SUITE 5
FORT WAYNE, IN 46825
Allen County (260) 484-7777
MARY SCHAEFFER RD
Dietitian, Registered
1234 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 373-9700
CHRISTINE SORG RD
Dietitian, Registered
1234 E DUPONT RD, SUITE 1
FORT WAYNE, IN 46825
Allen County (260) 469-6610

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?

No. Jeffrey Gladd has opted out of Medicare through August 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

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