DUANE M WAMPLER (PA-C) – Surgical Physician Assistant, NPI 1154312122

DUANE M WAMPLER (PA-C) is a healthcare provider. based in Mishawaka, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10000266A (IN). The NPI Number for DUANE M WAMPLER (PA-C) is 1154312122

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DUANE M WAMPLER (PA-C)
NPI
1154312122
Phone
(574) 204-7200
Address
1802 DAY RD
Enumeration Date
31 October 2005
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604368000
Graduation Year
1994 (32 years ago)
PAC ID
8527231653
Group Practice PAC ID
0042299885
Professional Enrollment ID
I20111104000209
Address ID
IN468045792FO7881XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for DUANE M WAMPLER (PA-C)

  • Day Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465454329

    Phone: (574) 204-7200

    Fax: (574) 252-0633

    Type: Location

  • 3505 N State Road 15 Ste C

    Warsaw, IN 465825504

    Phone: (260) 436-8000

    Type: Location

  • 7881 CARNEGIE BLVD

    FORT WAYNE, IN 468045792

    Phone: (260) 436-8000

    Fax: (260) 436-0929

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $2,007.

Total Amount is formed as General ($2,007) + Research ($0) + Ownership ($0) = $2,007.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($567).

Total Amount

$2,007

General + Research + Ownership

Payments

109

Total payment records

General Amount

$2,007

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20111104000209IPhysician AssistantINTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,029199$0
99213Established patient office or other outpatient visit, 20-29 minutes698483$0
17000Destruction of precancer skin growth, 1 growth351267$0
11102Biopsy of related skin growth, first growth346297$0
99212Established patient office or other outpatient visit, 10-19 minutes242192$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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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: 0042299885View full group profile
NameSpecialtyState
D E R M A T O L O G YIN
Nurse PractitionerIN
D E R M A T O L O G YOH
Nurse PractitionerIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
D E R M A T O L O G YTX
Nurse PractitionerIN
D E R M A T O L O G YIN

Reviews

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Frequently asked questions

Does DUANE M WAMPLER (PA-C) have a public NPI I can cite?
Public records show DUANE M WAMPLER (PA-C) under NPI 1154312122.
Should I treat DUANE M WAMPLER (PA-C) as an active provider?
Patients and plans typically see DUANE M WAMPLER (PA-C) as active in the national extract.
What services align with DUANE M WAMPLER (PA-C)'s listing?
DUANE M WAMPLER (PA-C)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DUANE M WAMPLER (PA-C) tied to Mishawaka, Indiana?
If you are local to Mishawaka, Indiana, DUANE M WAMPLER (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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