DR. EVAN KENNETH FITZ (M.D.) – Colon & Rectal Surgery Physician, NPI 1205197340
Colon & Rectal Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
64 COLORECTAL SURGERY (PROCTOLOGY) in IN
Provider Addresses for DR. EVAN KENNETH FITZ (M.D.)
1215 Hadley Rd Ste 201
Mooresville, IN 461582907
Phone: (317) 834-2020
Type: Location
2448 E 81ST ST
STE 1100
TULSA, OK 741374205
Phone: (918) 505-3400
Fax: (918) 895-6028
Type: Location
1120 South Dr
Fesler Hall, Room 224
Indianapolis, IN 462025135
Phone: (317) 274-8282
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
5255 E STOP 11 RD STE 250
INDIANAPOLIS, IN 462376343
Phone: (317) 528-2270
Fax: (317) 528-2286
Type: Location
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
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 $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($135).
Total Amount
$135
General + Research + Ownership
Payments
1
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $135 |
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: 2020-06-12
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 |
|---|---|---|---|---|
| I20200612001660 | I | Colorectal Surgery (Proctology) | 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 | 77 | 51 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 76 | 63 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 69 | 67 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 37 | 20 | $0 |
Insurance plans in this area (ZIP 46158)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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