PRADEESH M. GEORGE (DO) – Trauma Surgery Physician, NPI 1992960157

PRADEESH M. GEORGE (DO) is a healthcare provider. based in Fort wayne, Indiana. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 34.010935 (OH). The NPI Number for PRADEESH M. GEORGE (DO) is 1992960157

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
PRADEESH M. GEORGE (DO)
NPI
1992960157
Phone
(260) 969-7121
Address
7910 W Jefferson Blvd
Enumeration Date
26 July 2008
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9373328777
Graduation Year
2007 (19 years ago)
PAC ID
5597905430
Group Practice PAC ID
8921022260
Professional Enrollment ID
I20130717000377
Address ID
OH453731337TR3130XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

729 GENERAL SURGERY in IN

Provider Addresses for PRADEESH M. GEORGE (DO)

  • 7910 W Jefferson Blvd

    Suite 112

    Fort Wayne, IN 468044159

    Phone: (260) 969-7121

    Fax: (260) 436-4292

    Type: Location

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 3130 N COUNTY ROAD 25A STE 214

    TROY, OH 453731337

    Phone: (937) 332-8777

    Fax: (937) 332-8773

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $318.

Total Amount is formed as General ($318) + Research ($0) + Ownership ($0) = $318.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABIOMED ($189).

Total Amount

$318

General + Research + Ownership

Payments

7

Total payment records

General Amount

$318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2015-05-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130717000377IGeneral SurgeryOHTBD
I20150519002582IGeneral SurgeryINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9557$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4029$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 8921022260View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
-OH
O T O L A R Y N G O L O G YOH
Orthopedic SurgeryOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
-OH
Mental Health CounselorOH
General SurgeryOH

Reviews

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Frequently asked questions

How do I look up PRADEESH M. GEORGE (DO) by NPI?
Use NPI 1992960157 when you need to reference PRADEESH M. GEORGE (DO) in forms, claims, or directories.
Is PRADEESH M. GEORGE (DO)'s NPI currently valid?
The extract we use shows PRADEESH M. GEORGE (DO) as active.
What kind of provider is PRADEESH M. GEORGE (DO)?
The page reflects Trauma Surgery Physician for PRADEESH M. GEORGE (DO). Clinical services aligned with this taxonomy classification.
Where does public data place PRADEESH M. GEORGE (DO)?
The snapshot lists Fort Wayne, Indiana for PRADEESH M. GEORGE (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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