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DR. CYNTHIA LYNN PASCUAL M.D.
NPI 1962401091
Family Medicine in Granger, IN

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530(574) 271-8610(574) 271-8620 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Oct 30, 2018, Jul 7, 2017 (3 updates tracked since 2017).

About Dr. Cynthia Lynn Pascual M.d. NPPES

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

DR. CYNTHIA LYNN PASCUAL M.D. (NPI 1962401091) is an individual family medicine provider in Granger, Indiana, licensed in Indiana (01054944A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1962401091
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CYNTHIA LYNN PASCUALCredential: M.D.
Location Address12340 BITTERSWEET COMMONS BLVD WGranger, IN 46530-6959
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 271-8610
Fax(574) 271-8620
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1962401091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01054944A✔ Licensed in MI · 4301116513
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.

12340 BITTERSWEET COMMONS BLVD W, Granger, IN 46530
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Other Identifiers 2

Medicaid1962401091MI
Medicaid200343500IN

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. Cynthia Lynn Pascual 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 ID9739130352
PECOS Enrollment IDI20050201000543
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 9

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 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.
237 services126 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.
101 services101 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.
89 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services47 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.
32 services31 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.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46530 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
4 suppliers14 claims25 services$5.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$16.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$6.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$80.54 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
2 suppliers21 claims21 services$187.32 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 4

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

BEACON MEDICAL GROUP, INC.
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DR. SHELLEY A. MORRIS D.O.
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DR. MARK P SCHMELTZ DO
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DANIELLE BROWN PA
Physician Assistant
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610

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 Cynthia Pascual's NPI number?

The NPI number for Cynthia Pascual is 1962401091. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Cynthia Pascual located?

Cynthia Pascual practices at 12340 Bittersweet Commons Blvd W, Granger, IN 46530. The listed phone number is (574) 271-8610.

What is Cynthia Pascual's specialty?

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

Is Cynthia Pascual enrolled in Medicare?

Yes. Cynthia Pascual 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 Cynthia Pascual accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Cynthia Pascual 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 Cynthia Pascual affiliated with any hospitals?

According to CMS data, Cynthia Pascual is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Cynthia Pascual was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.