Active NPI 1124029079 Individual Practitioner Male Practitioner

Dr. Guy G Crevecoeur , MD

Plastic Surgery • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Guy Crevecoeur, MD is a certified Plastic Surgery practicing in Fort Wayne, IN. With approximately 38 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 1988, Dr. Crevecoeur delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 300.

Dr. Crevecoeur is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 300

Fort Wayne, IN 468451715

Telephone 2604907111

Fax 2604902286

Associated Practice Facility / Clinic

🏢 Summit Plastic Surgery, Pc Facility NPI 1194701664

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +7.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Fort Wayne, IN (84 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crevecoeur (38 Years) 38 Yrs

Fort Wayne Specialty Average (30.6 Years) 30.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$152.00	$66.90
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$135.00	$84.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$147.61	$67.98
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$132.95	$85.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$135.00	$85.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$219.00	$100.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$195.00	$102.85
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$135.00	$67.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$135.00	$72.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$80.00	$43.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$135.00	$72.25
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$120.00	$70.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$80.00	$42.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$102.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$135.00	$70.23
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$120.00	$68.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$80.00	$41.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$95.00	$37.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$140.00	$69.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	31	$109.19	$36.91
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$181.91	$94.95
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$158.20	$69.88

Medical Specialties & State Licenses

CMS Verified: 2022-10-20

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01065385A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01580914 (NY)

Medicaid State Provider ID

200901990 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11141 Parkview Plaza Dr, Fort Wayne, IN 468451714

Phone: 2604256030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Reid Pflueger , DO

Plastic Surgery

NPI 1013201995

Doctor of Osteopathic Medicine (D.O.)

Dr. Kevin Berning , MD

Plastic Surgery

NPI 1164423620

Doctor of Medicine (M.D.)

Dr. Geoffrey Randolph , MD

Plastic Surgery

NPI 1194726380

Doctor of Medicine (M.D.)

Dr. Matthew Shambaugh , MD

Plastic Surgery

NPI 1700888617

Doctor of Medicine (M.D.)

Jennifer Howard , PA

Physician Assistant

NPI 1710998828

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address June 25, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

✅

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 25, 2017

Registered at 3926 NEW VISION DR, FORT WAYNE, IN 468451712 (Tel: 2604907111)

📍

Updated Practice Location April 25, 2017

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604907111)

👤

Provider Name / Credentials Updated April 25, 2017

Recorded as GUY CREVECOEUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Plastic Surgery (License #01065385A in IN)

✅

NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2008

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604907111)

📍

Updated Business Mailing Address August 15, 2008

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604907111)

👤

Provider Name / Credentials Updated August 15, 2008

Recorded as GUY CREVECOEUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Plastic Surgery (License #01065385A in IN)

🟢

Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124029079

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 02, 2005

Last Update: October 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.