NATALKA FEDORIW (MD) – Ophthalmology Physician, NPI 1417957333

NATALKA FEDORIW (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 01060266A (IN). The NPI Number for NATALKA FEDORIW (MD) is 1417957333

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NATALKA FEDORIW (MD)
NPI
1417957333
Phone
(260) 422-3937
Address
3301 LAKE AVE
Enumeration Date
21 July 2005
Last Update Date
16 January 2009

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604223937
Graduation Year
2001 (25 years ago)
PAC ID
3274576483
Group Practice PAC ID
4688611692
Professional Enrollment ID
I20050608000960
Address ID
IN468055529FO3301XAVEX300
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

328 OPHTHALMOLOGY in IN

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Provider Addresses for NATALKA FEDORIW (MD)

  • 3301, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 468055529

    Phone: (260) 422-3937

    Fax: (260) 424-6900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $655.

Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($160).

Total Amount

$655

General + Research + Ownership

Payments

25

Total payment records

General Amount

$655

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2005-06-08

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
I20050608000960IOphthalmologyINTBD

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
92014Established patient complete exam of visual system250247$0
99214Established patient office or other outpatient visit, 30-39 minutes172162$0
92250Photography of the retina151150$0
92136Measurement of corneal curvature and depth of eye14694$0
66984Removal of cataract with insertion of prosthetic lens13277$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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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: 4688611692View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

How do payers reference NATALKA FEDORIW (MD)?
For NATALKA FEDORIW (MD), use NPI 1417957333 as the unique 10-digit identifier.
Is there an active status for NATALKA FEDORIW (MD)?
For scheduling context, NATALKA FEDORIW (MD) is shown as active in the registry.
What kind of doctor is NATALKA FEDORIW (MD)?
NATALKA FEDORIW (MD) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is NATALKA FEDORIW (MD) registered?
Use Fort Wayne, Indiana as the headline location for NATALKA FEDORIW (MD) here.
Does NATALKA FEDORIW (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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