Samuel Vincent Dismuke , PA-C
Physician Assistant โข Fort Wayne, IN
5050 N Clinton St
Fort Wayne, IN 468255886
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Samuel Dismuke is listed in NPPES under Physician Assistant.
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NPI assigned on March 2, 2018; this date does not establish years in practice.
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Published CMS data list 1,388 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 โ Injection, methylprednisolone acetate, 1 mg: 1,050 service units.
- 22614 โ Fusion of additional segment of spine: 66 service units.
- 99213 โ Established patient outpatient office visit: 58 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 443 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 86 prescription fills, including refills.
- Methocarbamol โ 62 prescription fills, including refills.
- Gabapentin โ 54 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: 160. Middle half: 76 to 520.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: 197. Middle half: 86 to 492.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 426 in 2020 to 1,388 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
5050 N Clinton St
Fort Wayne, IN 468255886
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Fort Wayne, IN; Warsaw, IN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Orthopaedics Northeast Pc; Summit Radiology P C. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
125 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $20,568 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $16,157 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
443 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,039 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2023
All general payments: $1,879.44 across 13 records.
By nature of payment
- Travel and Lodging: $1,024.57 across 2 records.
- Food and Beverage: $854.87 across 11 records.
Reporting-company totals
- SI-BONE, INC.: $1,390.00 across 4 records.
- Philadelphia Medical Management Company LLC: $409.39 across 7 records.
- Globus Medical, Inc.: $80.05 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Samuel Dismuke has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Samuel Dismuke as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fort Wayne and Indiana
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: 160. Middle half: 76 to 520.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: 197. Middle half: 86 to 492.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: $13,183. Middle half: $7,142 to $25,237.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $15,329. Middle half: $6,542 to $30,900.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: $9,801. Middle half: $5,312 to $18,299.
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $11,240. Middle half: $4,743 to $22,484.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 178 clinicians with data). Median for this group: 158. Middle half: 75 to 430.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Indiana (2024, 1,330 clinicians with data). Median for this group: 207. Middle half: 84 to 558.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 178 clinicians with data). Median for this group: $1,109. Middle half: $497 to $7,688.
Close to the middle for clinicians listed under Physician Assistant in Indiana (2024, 1,330 clinicians with data). Median for this group: $1,981. Middle half: $589 to $36,201.
313 active clinicians are listed under Physician Assistant with a practice address in Fort Wayne, IN (2,419 in Indiana).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fort Wayne
7% of these 313 clinicians have the CMS telehealth indicator.
66.5% of these 313 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 226% from 426 in 2020 to 1,388 in 2024.
- 2020: 426
- 2021: 500
- 2022: 516
- 2023: 453
- 2024: 1,388
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Medicare-allowed amount
Medicare-allowed amount decreased 10% from $22,821 in 2020 to $20,568 in 2024.
- 2020: $22,821
- 2021: $29,170
- 2022: $29,486
- 2023: $24,856
- 2024: $20,568
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Paid by Medicare
Paid by Medicare varied from year to year: $17,387 in 2020 and $16,157 in 2024.
- 2020: $17,387
- 2021: $22,362
- 2022: $22,176
- 2023: $19,077
- 2024: $16,157
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 455 in 2020 and 443 in 2024.
- 2020: 455
- 2021: 459
- 2022: 512
- 2023: 560
- 2024: 443
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30-day fills
30-day fills stayed about the same: 459 in 2020 and 443 in 2024.
- 2020: 459
- 2021: 481
- 2022: 518
- 2023: 574
- 2024: 443
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Part D drug cost
Part D drug cost decreased 22% from $5,171 in 2020 to $4,039 in 2024.
- 2020: $5,171
- 2021: $4,193
- 2022: $6,047
- 2023: $5,939
- 2024: $4,039
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $208.00 in 2021 to $1,879.44 in 2023.
- 2021: $208.00
- 2022: $214.57
- 2023: $1,879.44
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): 13 records totaling $1,879.44.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| SI-BONE, INC. |
Travel and Lodging
In-kind items and services
|
IFUSE IMPLANT SYSTEM | General | $737.60 |
| SI-BONE, INC. |
Food and Beverage
In-kind items and services
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IFUSE IMPLANT SYSTEM | General | $293.65 |
| SI-BONE, INC. |
Travel and Lodging
In-kind items and services
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IFUSE IMPLANT SYSTEM | General | $286.97 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $178.65 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $128.55 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $71.78 |
| Globus Medical, Inc. |
Food and Beverage
In-kind items and services
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ExcelsiusGPS Robotic Navigation System | General | $54.82 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $28.66 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $27.69 |
| Globus Medical, Inc. |
Food and Beverage
In-kind items and services
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ExcelsiusGPS Robotic Navigation System | General | $25.23 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $19.62 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $19.60 |
| Philadelphia Medical Management Company LLC |
Food and Beverage
Cash or cash equivalent
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โ | General | $6.62 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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1,050 | 15 | $6.51 | $0.12 |
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22614
Fusion of additional segment of spine
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66 | 15 | $1067.17 | $46.10 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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58 | 54 | $249.00 | $68.60 |
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72100
X-ray of lower and sacral spine, 2-3 views
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42 | 32 | $118.00 | $29.99 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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39 | 26 | $668.23 | $30.43 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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25 | 24 | $147.00 | $44.40 |
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72040
X-ray of upper spine, 2-3 views
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20 | 13 | $111.00 | $30.71 |
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22612
Fusion of spine in lower back
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19 | 17 | $4234.58 | $191.18 |
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20552
Injection of trigger points, 1-2 muscles
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16 | 15 | $190.00 | $40.97 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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15 | 13 | $2891.87 | $98.12 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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14 | 14 | $3975.00 | $98.80 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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12 | 12 | $2136.25 | $90.12 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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12 | 12 | $1885.00 | $85.45 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 86 | 568 | $639.06 | 77 |
| Methocarbamol | Methocarbamol | 62 | 1,778 | $805.43 | 48 |
| Gabapentin | Gabapentin | 54 | 1,620 | $571.06 | 30 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 253 | $433.09 | 31 |
| Tramadol Hcl | Tramadol Hcl | 33 | 188 | $101.00 | 29 |
| Celecoxib | Celecoxib | 33 | 975 | $462.84 | 21 |
| Morphine Sulfate Er | Morphine Sulfate | 30 | 201 | $139.66 | 30 |
| Tizanidine Hcl | Tizanidine Hcl | 30 | 849 | $237.98 | 25 |
| Baclofen | Baclofen | 22 | 645 | $178.69 | 17 |
| Prednisone | Prednisone | 19 | 225 | $53.43 | 19 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 12 | 360 | $161.95 | โ |
| Pregabalin | Pregabalin | 12 | 360 | $240.58 | โ |
| Diazepam | Diazepam | 11 | 22 | $14.25 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180504001206
IN
6709140403
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Summit Radiology P C
None, Fort Wayne, IN 46835
Phone: 2604321568
Orthopaedics Northeast Pc
5050 N Clinton St, Fort Wayne, IN 468255886
Phone: 2604848551
Orthopaedics Northeast Pc
11136 Parkview Circle Dr, Fort Wayne, IN 468451730
Phone: 2604848551
Orthopaedics Northeast Pc
8202 Glencarin Blvd, Fort Wayne, IN 468045783
Phone: 2604848551
Secondary Practice Locations
1500 Provident Dr Ste B
Warsaw, IN 465803297
Phone: 5742698301
11136 Parkview Circle Dr
Fort Wayne, IN 468451730
Phone: 2604848551
7920 W Jefferson Blvd
Fort Wayne, IN 468044168
Phone: 2604848551
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Nurse Anesthetist, Certified Registered
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)
Recorded as SAMUEL DISMUKE, PA-C
Registered at 5050 N CLINTON ST, FORT WAYNE, IN 46825 (Tel: 2604848551)
Physician Assistant (license number reported to NPPES: IN 10002437A)
NPI status registered as active in NPPES database
Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)
Registered at 5052 N CLINTON ST, FORT WAYNE, IN 468255822 (Tel: 2604848551)
Recorded as SAMUEL DISMUKE
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Fort Wayne
- Joseph Vu
- Kyle Moser, PA-C
- Andrea Moll, PA
- Nicole Helsom, PA
- Abigail Bort, PA-C
- Brittany Tucovic, PA
Mailing Address
5052 N Clinton St
Fort Wayne, IN 468255822
Phone: 2604848551