JOHN ADDO MD
NPI 1922063189
Internal Medicine in Fort Wayne, IN

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
2622 LAKE AVE, FORT WAYNE, IN 46805(260) 425-3100(260) 425-3604 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Addo Md NPPES

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

JOHN ADDO MD (NPI 1922063189) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01044290) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1922063189
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN ADDOCredential: MD
Location Address2622 LAKE AVEFort Wayne, IN 46805-5410
Mailing Address2622 Lake AveFort Wayne, IN 46805-5410 · (260) 425-3100 · Fax (260) 425-3604
Fax(260) 425-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 19, 2006
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
NPI 1922063189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01044290
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 01044290A (IN)
2622 LAKE AVE, Fort Wayne, IN 46805

Other Identifiers 1

Medicaid200068810IN

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

John Addo Md 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 ID8123163391
PECOS Enrollment IDI20100227000090
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 13

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, 30-39 minutes 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.
277 services113 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
149 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services69 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
66 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
57 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

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

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
13 suppliers28 claims88 services$6.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims25 services$1.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims15 services$6.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers22 claims22 services$211.00 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 14

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

Occupational Therapist
2622 LAKE AVE
FORT WAYNE, IN 46805
Nurse Practitioner
2622 LAKE AVE
FORT WAYNE, IN 46805
Psychiatry & Neurology (Neurology)
2622 LAKE AVE
FORT WAYNE, IN 46805
Speech-Language Pathologist
2622 LAKE AVE
FORT WAYNE, IN 46805
Internal Medicine (Gastroenterology)
2622 LAKE AVE
FORT WAYNE, IN 46805
Internal Medicine (Cardiovascular Disease)
2622 LAKE AVE
FORT WAYNE, IN 46805
Pediatrics
2622 LAKE AVE
FORT WAYNE, IN 46805
Family Medicine
2622 LAKE AVE
FORT WAYNE, IN 46805

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 Addo's NPI number?

The NPI number for John Addo is 1922063189. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is John Addo located?

John Addo practices at 2622 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 425-3100.

What is John Addo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Addo enrolled in Medicare?

Yes. John Addo 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 Addo accept?

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

According to CMS data, John Addo is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center and St Joseph Health System, LLC.

When was this NPI record last updated?

The NPPES record for John Addo was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.