Douglas Anthony Kruse, MD
NPI 1194830661ActiveIndividual· Family Medicine· Belleville, IL
Family Medicine (MD) in Belleville, Illinois, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1995). 185 Medicare patients in 2024, $54,917 paid; nearly all of their 293 Part D prescriptions were generic (91%). Novartis Pharmaceuticals Corporation reported $19.27 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1194830661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 21, 2006 |
| Last updated in NPPES | Mar 19, 2021 |
| Certified by provider | Mar 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036-098255 | IL |
| Hospitalist | 208M00000X | 036098255 | IL |
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 - Hospitalist (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 580 across 15 procedure codes |
| Paid by Medicare | $54,917 |
Part D prescriptions in 2024
| Prescriptions (claims) | 293 · 303 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $8,144 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Hospitalist |
Medical groups
- Hillsboro Area Hospital, Inc.Hillsboro, IL · 38 clinicians
- Macoupin Physician Services, PCCarlinville, IL · 11 clinicians
Hospital affiliations
- Carlinville Area HospitalCarlinville, IL
- Hillsboro Area HospitalHillsboro, IL
- Memorial Medical CenterSpringfield, IL
- St Johns HospitalSpringfield, IL
Industry payments (Open Payments)
- 2024$19.27 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $19.27 | 1 |
What the 2024 payments were for
- Food and Beverage$19.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 family medicine physicians in Belleville · All family medicine physicians in Illinois