GEOFFREY C CLY (M.D.) – Obstetrics & Gynecology Physician, NPI 1407855802
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for GEOFFREY C CLY (M.D.)
11123 Parkview Plaza Dr
SUITE 101
Fort Wayne, IN 468451707
Phone: (260) 422-7455
Fax: (260) 424-9356
Type: Location
3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451712
Phone: (260) 266-8210
Fax: (260) 458-5636
Type: Mailing
13861 OLIO RD
FISHERS, IN 460373487
Phone: (317) 338-7136
Fax: (317) 338-6359
Type: Location
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
SUITE 101
FORT WAYNE, IN 468451707
Phone: (260) 422-7455
Fax: (260) 424-9356
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $606.
Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Caldera Medical, Inc ($256).
Total Amount
$606
General + Research + Ownership
Payments
13
Total payment records
General Amount
$606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Caldera Medical, Inc | $256 |
| Hologic Sales and Service, LLC | $171 |
| Biogen, Inc. | $165 |
| PFIZER INC. | $14 |
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: 2004-01-05
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 |
|---|---|---|---|---|
| I20040105000858 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IN |
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