SVETLANA V HAGAN (MD) – Family Medicine Physician, NPI 1124255153
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for SVETLANA V HAGAN (MD)
1270 E STATE ROAD 205
STE 240
COLUMBIA CITY, IN 467259499
Phone: (260) 248-9230
Fax: (260) 248-9249
Type: Location
885 W CONNEXION WAY STE 200
COLUMBIA CITY, IN 467251045
Phone: (260) 248-9260
Fax: (260) 248-9279
Type: Location
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
MAILBOX 117
FORT WAYNE, IN 46845
Phone: (260) 266-8210
Type: Mailing
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
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: 2012-06-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120626000389 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 62 | $0 |
| 81003 | Automated urinalysis test | 26 | 25 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46725)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Family Practice | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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