SANDRA A KRIZMANICH (MD) – Obstetrics Physician, NPI 1609047026
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for SANDRA A KRIZMANICH (MD)
2518, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468251675
Phone: (260) 432-4400
Fax: (260) 969-6898
Type: Mailing
West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46814, United States
FORT WAYNE, IN 468044140
Phone: (260) 432-4400
Fax: (260) 969-6898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($51).
Total Amount
$202
General + Research + Ownership
Payments
11
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $51 |
| Baxter Healthcare | $32 |
| Organon LLC | $29 |
| Sumitomo Pharma America, Inc. | $25 |
| Meditrina | $21 |
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: 2011-09-07
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 |
|---|---|---|---|---|
| I20110907001093 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 112 | 112 | $0 |
| 77067 | Screening mammography | 112 | 112 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 46 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 46825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| 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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