Mark V Reecer, MD
Individual provider Active NPI Pain Medicine Physician · Fort Wayne, IN
NPI 1467423939 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1467423939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 01039946A (IN)
- Practice address
- 5750 Coventry LN
Suite 101
Fort Wayne, IN 46804-7166 - Phone
- (260) 436-9337
- Fax
- (260) 436-9626
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Indiana University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.34 of 100
- Quality
- 41.58
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000683 | IN | Practitioner - Pain Management |
7214822071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
Locations
7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232
256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
7230 Engle Rd
Fort Wayne, IN 46804
Phone (219) 422-9466
7956 W Jefferson Blvd
Fort Wayne, IN 46804
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- mreecer@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 01039946A | IN | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 01039946A | IN | |
| Pain Medicine Physician | 208VP0000X | 01039946A | IN | Yes |
Addresses
Primary practice location
5750 Coventry LN
Suite 101
Fort Wayne, IN 46804-7166
Mailing address
5750 Coventry LN
Suite 101
Fort Wayne, IN 46804-7166
Phone (260) 436-9337
Other practice location 1
7230 Engle Rd Ste 100
Fort Wayne, IN 46804-2234
Phone (260) 234-5400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mreecer@direct.iuhealth.org | Direct |
Other providers in Fort Wayne, IN
- Monica Reddy
- Subhash K Reddy
- Emily Redman
- Emma Redner
- Charles Philip Redwine
- Suzanne Bernadette Reecer
- Damian Reed
- Douglas F Reed
- Douglas S Reed
- Jai Lei Reed
All providers in Fort Wayne, IN · Pain Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.