GARY BERUBE (M.D.) – Family Medicine Physician, NPI 1881678696

GARY BERUBE (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01048413A (IN). The NPI Number for GARY BERUBE (M.D.) is 1881678696

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
GARY BERUBE (M.D.)
NPI
1881678696
Phone
(260) 373-9700
Address
1234 E DUPONT RD
Enumeration Date
5 December 2005
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2602489960
Graduation Year
1980 (46 years ago)
PAC ID
7517052293
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20070927000045
Address ID
IN467258505CO1270XRDXX404

Contacts

FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Secure Messaging
gberube3874@Direct.Parkviewexchange.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,862 FAMILY PRACTICE in IN

Provider Addresses for GARY BERUBE (M.D.)

  • 1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States

    SUITE 1

    FORT WAYNE, IN 468251545

    Phone: (260) 373-9700

    Fax: (260) 373-9740

    Type: Mailing

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 1270 E STATE ROAD 205 STE 210

    SUITE 210

    COLUMBIA CITY, IN 467258506

    Phone: (260) 248-9230

    Fax: (260) 248-9249

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 349 Open Payments records for all available years, with a total value of $5,736.

Total Amount is formed as General ($5,736) + Research ($0) + Ownership ($0) = $5,736.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,138).

Total Amount

$5,736

General + Research + Ownership

Payments

349

Total payment records

General Amount

$5,736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-09-27

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
I20070927000045IFamily PracticeINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes429196$0
99213Established patient office or other outpatient visit, 20-29 minutes14794$0
G0008Administration of influenza virus vaccine5858$0
96372Injection of drug or substance under skin or into muscle5318$0
83036Hemoglobin a1c level4632$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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is GARY BERUBE (M.D.) listed with a National Provider Identifier?
Yes — GARY BERUBE (M.D.) has NPI 1881678696 on file in the registry.
Is there an active status for GARY BERUBE (M.D.)?
For scheduling context, GARY BERUBE (M.D.) is shown as active in the registry.
What area of care is associated with GARY BERUBE (M.D.)?
GARY BERUBE (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GARY BERUBE (M.D.) located near Fort Wayne?
GARY BERUBE (M.D.) currently maps to Fort Wayne, Indiana in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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