Doctor profile · Federal record
Dr. Douglas Doctor, M.D.
Family Medicine Physician (CMS: Family Practice) · South Bend, IN
- NPI 1376598938
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
17321 State Road 23
South Bend, IN 466351531
(574) 335-8400
fax (574) 335-0796 - Additional location
-
231 W Day RD
Mishawaka, IN 465451401
(574) 335-8445
fax (574) 335-0846 - Mailing address
-
707 E Cedar St, Ste 200
South Bend, IN 466174207
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- January 8, 2024
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #01036380
- Medicaid
- IN #100205190A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376598938. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,270
Distinct HCPCS
10
Medicare allowed
$123,323
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 588 | 276 | $117 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 187 | 187 | $113 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 147 | 115 | $83 | |
83036 |
Hemoglobin a1c level | 143 | 69 | $9 | |
G0008 |
Administration of influenza virus vaccine | 52 | 51 | $29 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 47 | 47 | $76 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 29 | 29 | $150 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 24 | 21 | $190 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 22 | 21 | $52 | |
G0009 |
Administration of pneumococcal vaccine | 16 | 16 | $29 |
In context: peer comparison
Among 41 peers in South Bend Family Medicine Physician, average services per provider: 88. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$28
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Radius Health, INC. | 1 | $14.52 | |
| Amgen INC. | 1 | $13.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,182
Patients
1,332
Total drug cost
$60,075
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 601 | 177 | $3,783 |
| Atorvastatin Calcium | Generic | 583 | 183 | $6,586 |
| Levothyroxine Sodium | Generic | 414 | 137 | $6,162 |
| Irbesartan | Generic | 306 | 79 | $9,258 |
| Rosuvastatin Calcium | Generic | 304 | 104 | $4,675 |
| Lisinopril | Generic | 270 | 99 | $2,816 |
| Losartan Potassium | Generic | 214 | 67 | $2,861 |
| Metoprolol Succinate | Generic | 211 | 71 | $4,245 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 206 | 69 | $2,947 |
| Gabapentin | Generic | 190 | 61 | $4,673 |
Frequently asked questions
What is Dr. Douglas Doctor's medical specialty?
Dr. Douglas Doctor practices Family Medicine Physician in South Bend, IN.
Where does Dr. Douglas Doctor practice?
Dr. Douglas Doctor practices at 17321 State Road 23, South Bend, IN 466351531. Office phone: 5743358400.
What is Dr. Douglas Doctor's NPI?
Dr. Douglas Doctor's National Provider Identifier (NPI) is 1376598938, issued by NPPES.
Does Dr. Douglas Doctor accept Medicare assignment?
Dr. Douglas Doctor does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Douglas Doctor commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.