Doctor profile · Federal record

Dr. Dandrae Douse, M.D.

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Anesthesiology Physician · Kendallville, IN

  • NPI 1609876531
  • MIPS 81.2 / 100 · 2023
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
401 N Sawyer RD
Kendallville, IN 467552568
(260) 347-8610
fax (260) 347-8617
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701

Credentials & registration

NPPES · NUCC
NPI registered
July 2005 — 21 yrs on file
Profile last updated
October 11, 2022
Specialty taxonomy
2083P0011X — NUCC code
State licenses (2)
Indiana #01028388 · Indiana #01028388A
Medicaid
IN #100322930A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609876531. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
371
Distinct HCPCS
4
Medicare allowed
$22,828
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 247 73 $62
11042 Removal of skin and tissue, 20.0 sq cm or less 74 28 $56
99203 New patient office or other outpatient visit, 30-44 minutes 36 36 $78
97597 Removal of tissue from wound, 20.0 sq cm or less 14 11 $34

In context: peer comparison

Among 1 peers in this city , average services per provider: 92. This provider delivers 4.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$34
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Tactile Systems Technology Inc 1 $18.92
Smith+Nephew, Inc. 1 $14.79

By nature of payment

Food and Beverage
$34

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
12
Patients
0
Total drug cost
$102
Drug Type Claims Patients Total cost
Cephalexin Generic 12 0 $102

Frequently asked questions

Auto-generated from federal data
What is Dr. Dandrae Douse's medical specialty?
Dr. Dandrae Douse practices Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Kendallville, IN.
Where does Dr. Dandrae Douse practice?
Dr. Dandrae Douse practices at 401 N Sawyer RD, Kendallville, IN 467552568. Office phone: 2603478610.
What is Dr. Dandrae Douse's NPI?
Dr. Dandrae Douse's National Provider Identifier (NPI) is 1609876531, issued by NPPES.
What procedures does Dr. Dandrae Douse commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.