MELINDA PEISERICH (PA-C) – Physician Assistant, NPI 1962011684
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MELINDA PEISERICH (PA-C)
15332 BRISTLECONE CT
FORT WAYNE, IN 468149468
Phone: (260) 249-5457
Type: Mailing
1819 CAREW ST
FORT WAYNE, IN 468054705
Phone: (260) 702-8055
Type: Location
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 468044128
Phone: (260) 458-3610
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2023-04-01 • Largest payer in this snapshot: ABBVIE INC. ($51).
Total Amount
$65
General + Research + Ownership
Payments
3
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $51 |
| Horizon Therapeutics plc | $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: 2022-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210624001983 | I | Physician Assistant | IN | TBD |
| I20220827000459 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 271 | 209 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 194 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 144 | 123 | $0 |
| 92083 | Exam of visual field with extended testing | 132 | 132 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 79 | 32 | $0 |
Insurance plans in this area (ZIP 46814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | MI |
Reviews
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