Active NPI
Mark V Reecer, MD
- Pain Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 01039946A
- 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
- Last updated
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| 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 | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mreecer@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Indiana University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
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
7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232
7956 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836
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
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
dba Fort Wayne Physical Medicine
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-
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Physical Medicine & Rehabilitation
-
dba Fort Wayne Neurological Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1467423939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 COVENTRY LN",
"address_2": "SUITE 101",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047166",
"telephone_number": "260-436-9337",
"fax_number": "260-436-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 COVENTRY LN",
"address_2": "SUITE 101",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047166",
"telephone_number": "260-436-9337",
"fax_number": "260-436-9626"
}
],
"practiceLocations": [
{
"address_1": "7230 Engle Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468042234",
"country_code": "US",
"telephone_number": "260-234-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REECER",
"first_name": "MARK",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2024-02-05",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01039946A",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "IN",
"license": "01039946A",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IN",
"license": "01039946A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mreecer@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7230 Engle Rd Ste 100",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468042234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.