Jacquelyn Small, DO
NPI 1225694102 · Family Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Small, DO is a Family Medicine Physician provider in Fort Wayne, IN (NPI 1225694102).
Provider details
- NPI number
- 1225694102
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 5101025847 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
336 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 104 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 74 | $128 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 72 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 38 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 27 | $130 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 76 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 199 | 74 |
| Amlodipine Besylate | 113 | 40 |
| Losartan Potassium | 108 | 41 |
| Fluticasone Propionate | 108 | 82 |
| Levothyroxine Sodium | 106 | 40 |
| Metformin Hcl | 94 | 30 |
| Levocetirizine Dihydrochloride |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Frequently asked questions
- What is Jacquelyn Small's NPI number?
- Jacquelyn Small's National Provider Identifier (NPI) is 1225694102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Small's specialty?
- Jacquelyn Small is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacquelyn Small located?
- Jacquelyn Small's practice location on file with NPPES is 3909 New Vision Dr, Fort Wayne, IN 46845-1725.
- What is Jacquelyn Small's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Small is (260) 469-6610.
- Does Jacquelyn Small accept Medicare?
- Jacquelyn Small is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Small's NPI active?
- Yes — Jacquelyn Small's NPI (1225694102) is active in the NPPES registry as of the last update on 2024-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.