DANDRAE DOUSE (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1609876531
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DANDRAE DOUSE (M.D.)
3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451712
Phone: (260) 482-1004
Fax: (260) 483-7894
Type: Mailing
401 N SAWYER RD
KENDALLVILLE, IN 467552568
Phone: (260) 347-8610
Fax: (260) 347-8617
Type: Location
3810, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451708
Phone: (260) 482-1004
Fax: (260) 483-7894
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Smith+Nephew, Inc. ($54).
Total Amount
$148
General + Research + Ownership
Payments
8
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $54 |
| Organogenesis Inc. | $53 |
| ABBVIE INC. | $22 |
| TACTILE SYSTEMS TECHNOLOGY INC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 247 | 73 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 74 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 14 | 11 | $0 |
Insurance plans in this area (ZIP 46845)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 109 | 69 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.