Samuel Dismuke, PA-C
NPI 1235631557 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Dismuke, PA-C is a Physician Assistant provider in Fort Wayne, IN (NPI 1235631557).
Provider details
- NPI number
- 1235631557
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10002437A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
338 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Fusion of Additional Segment of Spine22614 | 66 | $46 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $69 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 42 | $30 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 39 | $30 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 25 | $44 |
| X-Ray of Upper Spine, 2-3 Views72040 | 20 | $31 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 86 | 77 |
| Methocarbamol | 62 | 48 |
| Gabapentin | 54 | 30 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 39 | 31 |
| Celecoxib | 33 | 21 |
| Tramadol Hcl | 33 | 29 |
| Morphine Sulfate |
Practice location
Mailing address
Additional practice locations (3)
- 7920 W Jefferson BlvdFort Wayne, IN 46804-4168Phone: (260) 484-8551Fax: (260) 482-5060
- 11136 Parkview Circle DrFort Wayne, IN 46845-1730Phone: (260) 484-8551Fax: (260) 482-5060
- 1500 Provident Dr Ste BWarsaw, IN 46580-3297Phone: (574) 269-8301Fax: (574) 269-8302
Registry dates
- Enumerated
- 2018-03-02
- Last updated
- 2018-10-30
Frequently asked questions
- What is Samuel Dismuke's NPI number?
- Samuel Dismuke's National Provider Identifier (NPI) is 1235631557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Dismuke's specialty?
- Samuel Dismuke is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Dismuke located?
- Samuel Dismuke's practice location on file with NPPES is 5050 N Clinton St, Fort Wayne, IN 46825-5886.
- What is Samuel Dismuke's phone number?
- The practice phone number listed in the NPPES registry for Samuel Dismuke is (260) 484-8551.
- Does Samuel Dismuke accept Medicare?
- Samuel Dismuke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Dismuke's NPI active?
- Yes — Samuel Dismuke's NPI (1235631557) is active in the NPPES registry as of the last update on 2018-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.