LUIS M VELASCO (M.D.) – Obstetrics & Gynecology Physician, NPI 1093770992
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for LUIS M VELASCO (M.D.)
1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE 1
FORT WAYNE, IN 468251545
Phone: (260) 373-7854
Fax: (260) 458-5664
Type: Mailing
Sawyer Road, Kendallville, Noble County, Indiana, 46755, United States
KENDALLVILLE, IN 467552572
Phone: (260) 347-8030
Fax: (260) 347-8035
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-09-13
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 |
|---|---|---|---|---|
| I20041221000232 | I | Obstetrics/Gynecology | KY | TBD |
| I20110819000037 | I | Obstetrics/Gynecology | IN | TBD |
| I20190913001617 | I | Obstetrics/Gynecology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 74230 | Imaging for evaluation of swallowing function | 538 | 511 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 535 | 508 | $0 |
| 74240 | Single contrast x-ray of upper digestive tract | 533 | 506 | $0 |
| 70100 | X-ray of part of lower jaw, 1-4 views | 510 | 485 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 348 | 348 | $0 |
Insurance plans in this area (ZIP 46825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MS | |
| Emergency Medicine | KY | |
| Internal Medicine | WI | |
| Internal Medicine | IN | |
| Internal Medicine | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Pathology, Family Practice | IN | |
| O P H T H A L M O L O G Y | IN | |
| Family Practice, Peripheral Vascular Disease | AZ | |
| General Practice | IN |
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