Kumpol Dennison, M.D.
NPI 1275887770ActiveIndividual· General Practice· Valparaiso, IN
General Practice (M.D.) with Cleanslate Medical Group of Indiana LLC, practicing in Valparaiso, Indiana. Their prescriptions cost Medicare Part D more than their services did: $21,607 for 254 claims, against $3,612 paid for services in 2024.
Overview
| NPI | 1275887770 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 5, 2012 |
| Last updated in NPPES | Jun 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 01071776A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 104 across 5 procedure codes |
| Paid by Medicare | $3,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 254 · 256 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $21,607 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1963 |
|---|---|
| Medicare specialty | General Surgery |
| Telehealth | Offers telehealth |
Medical group
- Cleanslate Medical Group of Indiana LLCNoblesville, IN · 46 clinicians
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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