Douglas Kruse, MD
NPI 1194830661 · Family Medicine Physician · Belleville, IL
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Kruse, MD is a Family Medicine Physician provider in Belleville, IL (NPI 1194830661).
Provider details
- NPI number
- 1194830661
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036098255 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
556 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 128 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 124 | $112 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 93 | $78 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 67 | $171 |
| Nursing Facility Discharge Management, More Than 30 Minutes99316 | 46 | $128 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 24 | 13 |
| Levofloxacin | 20 | 20 |
| Prednisone | 20 | 17 |
| Diltiazem Hclbrand: Diltiazem 24hr Er (cd) | 14 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 9495 Holy Cross LnSuite 103Breese, IL 62230-3510Phone: (618) 526-2222Fax: (618) 526-7680
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Frequently asked questions
- What is Douglas Kruse's NPI number?
- Douglas Kruse's National Provider Identifier (NPI) is 1194830661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Kruse's specialty?
- Douglas Kruse is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Kruse located?
- Douglas Kruse's practice location on file with NPPES is 4500 Memorial Dr, Belleville, IL 62226-5360.
- What is Douglas Kruse's phone number?
- The practice phone number listed in the NPPES registry for Douglas Kruse is (618) 257-6220.
- Does Douglas Kruse accept Medicare?
- Douglas Kruse is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Kruse's NPI active?
- Yes — Douglas Kruse's NPI (1194830661) is active in the NPPES registry as of the last update on 2021-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.