Samuel Vincent Dismuke, PA-C
NPI 1235631557ActiveIndividual· Physician Assistant· Fort Wayne, IN
Physician Assistant (PA-C) with Summit Radiology P C and 1 other group, practicing in Fort Wayne, Indiana. 125 Medicare patients in 2024, $25,961 paid; nearly all of their 486 Part D prescriptions were generic (99%). Lists Lutheran Hospital of Indiana and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1235631557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 2, 2018 |
| Last updated in NPPES | Oct 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10002437A | IN |
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 - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 125 |
|---|---|
| Services billed | 1,579 across 61 procedure codes |
| Paid by Medicare | $25,961 |
Part D prescriptions in 2024
| Prescriptions (claims) | 486 · 490 30-day fills |
|---|---|
| Patients | 229 |
| Total drug cost | $6,253 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Summit Radiology P CFort Wayne, IN · 102 clinicians
- Orthopaedics Northeast PCFort Wayne, IN · 79 clinicians
Hospital affiliations
- Lutheran Hospital of IndianaFort Wayne, IN
- Orthopaedic Hospital at Parkview NorthFort Wayne, IN
- The Orthopaedic Hospital of Lutheran Health NetworFt Wayne, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 327 physician assistants in Fort Wayne · All physician assistants in Indiana