Active NPI
Kevin John Leffers, MD
- Orthopaedic Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01078475A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 436-8585
- NPI assigned
- Jan 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01078475A | IN | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (866) 413-9534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300003404 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 22 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078475A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722
701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
Interoperability endpoints
- kevin.leffers.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Westfield, IN
- NPI 1013371277
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1487959649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "866-413-9534",
"fax_number": "260-407-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFFERS",
"first_name": "KEVIN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-20",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01078475A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300003404",
"state": "IN"
}
],
"endpoints": [],
"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 Nov 23, 2021; 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.