DAVID C. II CRONIN (MD, PHD) – Surgery Physician, NPI 1063496925
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID C. II CRONIN (MD, PHD)
7910 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 468044159
Phone: (260) 435-6275
Fax: (260) 435-6279
Type: Location
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047934
Phone: (260) 479-3514
Fax: (260) 479-3520
Type: Mailing
7910 W Jefferson Blvd Ste 200
Fort Wayne, IN 468044159
Phone: (260) 435-6275
Fax: (260) 435-6279
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5353
Type: Mailing
3 RIVERSIDE CIR
ROANOKE, VA 240164955
Phone: (540) 981-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $32,859.
Total Amount is formed as General ($32,859) + Research ($0) + Ownership ($0) = $32,859.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: TRANSMEDICS, INC. ($30,453).
Total Amount
$32,859
General + Research + Ownership
Payments
19
Total payment records
General Amount
$32,859
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TRANSMEDICS, INC. | $30,453 |
| ABBVIE INC. | $2,407 |
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: 2025-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081118000232 | I | General Surgery | WI | TBD |
| I20161003001909 | I | General Surgery | CO | TBD |
| I20250203000801 | I | General Surgery | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46804)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| U R O L O G Y | MI | |
| Internal Medicine | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Family Practice | IN |
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