MR. DOUGLAS IVAN DUSENBERRY (PA-C) – Surgical Physician Assistant, NPI 1790764678
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. DOUGLAS IVAN DUSENBERRY (PA-C)
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 916-5666
Type: Location
3851 ROGER BROOKE DR
BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-0517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,288.
Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.
Last reported payment date: 2024-12-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($374).
Total Amount
$1,288
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-06-26
PECOS data refreshed: 2026-05-27
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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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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