DAVID A GOERTZEN (MD) – Orthopaedic Surgery Physician, NPI 1154329902

DAVID A GOERTZEN (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 01041473A (IN). The NPI Number for DAVID A GOERTZEN (MD) is 1154329902

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A GOERTZEN (MD)
NPI
1154329902
Phone
(260) 484-8551
Address
5052 N CLINTON ST
Enumeration Date
13 July 2005
Last Update Date
22 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
2604848551
Graduation Year
1989 (37 years ago)
PAC ID
1153314307
Group Practice PAC ID
9234024878
Professional Enrollment ID
I20100720000546
Address ID
IN468255886FO5050XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

668 ORTHOPEDIC SURGERY in IN

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Provider Addresses for DAVID A GOERTZEN (MD)

  • 5052, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468255822

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Mailing

  • 5050, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468255886

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

  • 1500 Provident Dr Ste B

    Warsaw, IN 465803297

    Phone: (574) 269-8301

    Fax: (574) 269-8302

    Type: Location

  • 7920 W Jefferson Blvd

    Fort Wayne, IN 468044168

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

  • 11136 Parkview Circle Dr

    Fort Wayne, IN 468451730

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-01-03 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

1

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$44
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: 2010-07-20

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
I20100720000546IOrthopedic SurgeryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7260$0
73502X-ray of hip, 2-3 views6559$0
27245Treatment of broken neck of thigh bone with bone implant2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement2020$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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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: 9234024878View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Nurse PractitionerIN
-IN
Family Practice, Orthopedic Surgery, Sports MedicineIN
Physician AssistantIN
Physician AssistantIN
Sports Medicine, Orthopedic SurgeryIN
Physician AssistantIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

What is the standard ID for DAVID A GOERTZEN (MD) in the U.S.?
In the U.S., DAVID A GOERTZEN (MD) is identified by NPI 1154329902.
Is DAVID A GOERTZEN (MD) currently accepting referrals based on NPI status?
Registry metadata lists DAVID A GOERTZEN (MD) as active.
Which specialty label fits DAVID A GOERTZEN (MD)?
NPPES ties DAVID A GOERTZEN (MD) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DAVID A GOERTZEN (MD) in Fort Wayne, Indiana?
For routing, start with Fort Wayne, Indiana for DAVID A GOERTZEN (MD), then verify phone and hours locally.
Who maintains DAVID A GOERTZEN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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