DOUGLAS A NUCKOLS MD
NPI 1982696837
Otolaryngology in Fort Wayne, IN

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
76.35/100
CMS Quality Rating
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825(260) 426-8117(260) 420-0817 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas A Nuckols Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS A NUCKOLS MD (NPI 1982696837) is an individual otolaryngology provider in Fort Wayne, Indiana, licensed in Indiana (01052220A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (1995).

NPPES Registry Identity

NPI1982696837
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDOUGLAS A NUCKOLSCredential: MD
Location Address10021 DUPONT CIRCLE CTFort Wayne, IN 46825-1604
Mailing Address10021 Dupont Circle CtFort Wayne, IN 46825-1604 · (260) 426-8117 · Fax (260) 420-0817
Fax(260) 420-0817
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1995
Enumeration DateAugust 17, 2005
Last NPPES UpdateNovember 20, 2009
NPI 1982696837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in IN · 01052220A Licensed in OH · 35-07-8501
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
10021 DUPONT CIRCLE CT, Fort Wayne, IN 46825

Other Identifiers 6

Medicare UPINH12326IN
Medicaid2207543OH
Medicare PIN040014894IN
Medicare PINNU4032471OH
Medicaid200262190IN
Medicare PIN047930JIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas A Nuckols Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608917174
PECOS Enrollment IDI20100106000021, I20101020001509
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,170 services96 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
480 services13 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
456 services12 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
410 services66 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
198 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services87 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.91
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%21 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
30%370 patients2/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
97%1,924 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,477 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 629 patients
Patients screened: 100% · 629 patients
5%99 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%780 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%114 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$36.94 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims66 services$2.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers16 claims16 services$36.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Speech-Language Pathologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Hearing Instrument Specialist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Audiologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Speech-Language Pathologist
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825
Otolaryngology
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Nuckols's NPI number?

The NPI number for Douglas Nuckols is 1982696837. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Douglas Nuckols located?

Douglas Nuckols practices at 10021 Dupont Circle Ct, Fort Wayne, IN 46825. The listed phone number is (260) 426-8117.

What is Douglas Nuckols's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Douglas Nuckols enrolled in Medicare?

Yes. Douglas Nuckols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Nuckols accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Douglas Nuckols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Nuckols affiliated with any hospitals?

According to CMS data, Douglas Nuckols is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Parkview Whitley Hospital, Kosciusko Community Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Douglas Nuckols was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.