Surgery Center of Fort Wayne
NPI 1780218115 · Ambulatory Surgical Clinic/Center · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgery Center of Fort Wayne is a Ambulatory Surgical Clinic/Center organization in Fort Wayne, IN (NPI 1780218115).
Provider details
- NPI number
- 1780218115
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Ehret, Administrator(317) 450-5441
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 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
735 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) |
|---|---|---|
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 133 | $668 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 103 | $356 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 89 | $282 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 74 | $4,803 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 62 | $418 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Frequently asked questions
- What is Surgery Center of Fort Wayne's NPI number?
- Surgery Center of Fort Wayne's National Provider Identifier (NPI) is 1780218115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of Fort Wayne?
- Surgery Center of Fort Wayne is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgery Center of Fort Wayne located?
- Surgery Center of Fort Wayne's practice location on file with NPPES is 1721 Magnavox Way, Fort Wayne, IN 46804-1537.
- What is Surgery Center of Fort Wayne's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of Fort Wayne is (317) 450-5441.
- Does Surgery Center of Fort Wayne accept Medicare?
- Surgery Center of Fort Wayne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Surgery Center of Fort Wayne?
- The authorized official listed on Surgery Center of Fort Wayne's NPPES record is Brandon Ehret, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of Fort Wayne's NPI active?
- Yes — Surgery Center of Fort Wayne's NPI (1780218115) is active in the NPPES registry as of the last update on 2024-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.