DR. JARED COFFMAN (MD) – Interventional Pain Medicine Physician, NPI 1053579151

DR. JARED COFFMAN (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01065791A (IN). The NPI Number for DR. JARED COFFMAN (MD) is 1053579151

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED COFFMAN (MD)
NPI
1053579151
Phone
Not provided
Address
3702 NEW VISION DR BLDG B
Enumeration Date
27 May 2008
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2607483650
Graduation Year
2007 (19 years ago)
PAC ID
7517130115
Group Practice PAC ID
0648424127
Professional Enrollment ID
I20111026000723
Address ID
IN468041537FO1721XWAYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,447 ANESTHESIOLOGY in IN

Provider Addresses for DR. JARED COFFMAN (MD)

  • 3702 NEW VISION DR BLDG B

    FORT WAYNE, IN 468451703

    Phone:

    Type: Mailing

  • 1721 MAGNAVOX WAY

    FORT WAYNE, IN 468041537

    Phone: (260) 748-3650

    Fax: (260) 569-2305

    Type: Location

  • John Kissinger Drive, Wabash, Wabash County, Indiana, 46992, United States

    WABASH, IN 469921648

    Phone: (260) 569-2221

    Fax: (260) 569-2305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $3,633.

Total Amount is formed as General ($3,633) + Research ($0) + Ownership ($0) = $3,633.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($2,206).

Total Amount

$3,633

General + Research + Ownership

Payments

41

Total payment records

General Amount

$3,633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111026000723IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes18089$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15320$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance10991$0
J1030Injection, methylprednisolone acetate, 40 mg10751$0
99443Telephone medical discussion with physician, 21-30 minutes10261$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648424127View full group profile
NameSpecialtyState
Physician AssistantIN
Nurse PractitionerIN
-IN
Nurse PractitionerOH
Nurse PractitionerIN
Physician AssistantIN
-IN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIN

Reviews

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Frequently asked questions

Is DR. JARED COFFMAN (MD) listed with a National Provider Identifier?
Yes — DR. JARED COFFMAN (MD) has NPI 1053579151 on file in the registry.
Is DR. JARED COFFMAN (MD) still an active registrant?
DR. JARED COFFMAN (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. JARED COFFMAN (MD)?
DR. JARED COFFMAN (MD) is associated with Interventional Pain Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JARED COFFMAN (MD)?
Travel planning: use Fort Wayne, Indiana as the reference point for DR. JARED COFFMAN (MD), then confirm.
Can I trust this NPI listing for DR. JARED COFFMAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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