GUY G CREVECOEUR (MD) – Plastic Surgery Physician, NPI 1124029079
Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN
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Provider Addresses for GUY G CREVECOEUR (MD)
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451715
Phone: (260) 490-7111
Fax: (260) 490-2286
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451712
Phone: (260) 490-7111
Fax: (260) 490-2286
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,178.
Total Amount is formed as General ($2,178) + Research ($0) + Ownership ($0) = $2,178.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: TELA Bio, Inc. ($1,878).
Total Amount
$2,178
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $1,878 |
| Axsome Therapeutics, Inc. | $127 |
| Merck Sharp & Dohme LLC | $114 |
| Smith+Nephew, Inc. | $60 |
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: 2008-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080731000718 | I | Plastic And Reconstructive Surgery | IN | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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