Douglas Rumbaugh
NPI 1164274429ActiveIndividual· Nurse Practitioner, Acute Care· Toledo, OH
Nurse Practitioner, Acute Care with Promedica Multi Specialty Physicians, practicing in Toledo, Ohio. Their prescriptions cost Medicare Part D more than their services did: $29,352 for 66 claims, against $6,770 paid for services in 2024. Janssen Pharmaceuticals, Inc reported $20.91 in payments in 2024, mostly food and beverage. Lists Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1164274429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 2, 2024 |
| Last updated in NPPES | Jun 6, 2024 |
| Certified by provider | Jun 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APRN.CNP.0035967 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI); Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 138 across 10 procedure codes |
| Paid by Medicare | $6,770 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 93 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $29,352 |
| Generic share | 38% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Promedica Multi Specialty PhysiciansToledo, OH · 270 clinicians
Hospital affiliations
- Memorial HospitalFremont, OH
- Promedica Charles and Virginia Hickman HospitalAdrian, MI
- Promedica Defiance Regional HospitalDefiance, OH
- Promedica Monroe Regional HospitalMonroe, MI
- Promedica Toledo HospitalToledo, OH
Industry payments (Open Payments)
- 2024$20.91 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $20.91 | 1 |
What the 2024 payments were for
- Food and Beverage$20.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 42 acute care nurse practitioners in Toledo · All acute care nurse practitioners in Ohio