Doctor profile · Federal record
Dr. Douglas Tacket, D.O.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Saint Joseph, MI
- NPI 1790764868
- Accepts Medicare
- 36 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4077 S Cleveland Ave
Saint Joseph, MI 490859513
(269) 429-2992 - Additional location
-
206 W Warren St
Middlebury, IN 465409410
(574) 825-2146
fax (574) 524-7435
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- February 22, 2024
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Michigan #5101012140 · Indiana #02001246A
- Medicaid (2)
- MI #114560327 · IN #300049695
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790764868. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
775
Distinct HCPCS
9
Medicare allowed
$62,258
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 183 | 128 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 180 | 124 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 124 | 93 | $84 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | 100 | $119 | |
G0008 |
Administration of influenza virus vaccine | 44 | 44 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 41 | 41 | $72 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 36 | 36 | $283 | |
G0009 |
Administration of pneumococcal vaccine | 36 | 36 | $29 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 31 | 28 | $52 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 103. This provider delivers 7.5× the peer median.Open Payments
Industry payments received
All-time total
$171
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 2 | $83.44 | |
| Novo Nordisk Inc | 2 | $43.07 | |
| Merck Sharp & Dohme LLC | 1 | $26.42 | |
| GlaxoSmithKline, LLC. | 1 | $18.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,757
Patients
514
Total drug cost
$21,348
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 232 | 66 | $1,554 |
| Atorvastatin Calcium | Generic | 213 | 68 | $2,284 |
| Levothyroxine Sodium | Generic | 198 | 60 | $3,344 |
| Amlodipine Besylate | Generic | 150 | 43 | $949 |
| Losartan Potassium | Generic | 123 | 40 | $1,327 |
| Metformin Hcl | Generic | 108 | 33 | $876 |
| Sertraline Hcl | Generic | 101 | 29 | $981 |
| Gabapentin | Generic | 100 | 27 | $2,411 |
| Hydrochlorothiazide | Generic | 97 | 32 | $425 |
| Metoprolol Succinate | Generic | 97 | 32 | $1,988 |
Hospital affiliations
Frequently asked questions
What is Dr. Douglas Tacket's medical specialty?
Dr. Douglas Tacket practices Family Medicine Physician in Saint Joseph, MI.
Where does Dr. Douglas Tacket practice?
Dr. Douglas Tacket practices at 4077 S Cleveland Ave, Saint Joseph, MI 490859513. Office phone: 2694292992.
What is Dr. Douglas Tacket's NPI?
Dr. Douglas Tacket's National Provider Identifier (NPI) is 1790764868, issued by NPPES.
Does Dr. Douglas Tacket accept Medicare assignment?
Yes. Dr. Douglas Tacket accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Tacket commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.