Active NPI 1275887770 Individual Practitioner Male Practitioner

Dr. Kumpol Dennison , MD

General Practice • Valparaiso, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kumpol Dennison, MD is a certified General Practice practicing in Valparaiso, IN. With approximately 63 years of clinical experience since completing medical education in 1963, Dr. Dennison delivers high-quality medical care to the local community at 44 KILMARTIN CT.

Dr. Dennison is affiliated with Cleanslate Medical Group Of Indiana Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include telehealth originating site facility fee, established patient outpatient office visit, care management services for behavioral health conditions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

44 Kilmartin Ct

Valparaiso, IN 463859304

Telephone 2196883950

Medicare Profile & Education

Medical School

Other

Graduation Year

1963

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Valparaiso, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

63 Yrs Matches City Avg

City Avg: 63.0 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Valparaiso, IN (190 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dennison (63 Years) 63 Yrs

Valparaiso Specialty Average (63.0 Years) 63.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q3014 Telehealth originating site facility fee	46	11	$60.00	$29.48
99213 Established patient office or other outpatient visit, typically 15 minutes	44	13	$265.53	$63.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	23	$265.53	$83.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	21	$424.35	$118.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	24	$424.35	$118.99
99213 Established patient office or other outpatient visit, typically 15 minutes	40	20	$265.53	$80.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	45	$424.35	$121.98
99213 Established patient office or other outpatient visit, typically 15 minutes	60	39	$261.10	$84.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	49	$424.35	$99.95
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	76	30	$175.38	$42.66
99213 Established patient office or other outpatient visit, typically 15 minutes	64	35	$265.53	$65.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	38	$414.79	$102.32
99213 Established patient office or other outpatient visit, typically 15 minutes	42	23	$265.55	$69.64
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	31	21	$175.37	$45.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	58	$165.71	$97.71
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$60.38	$15.13
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$122.71	$65.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$266.18	$147.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$205.44	$97.00

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 01071776A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100142380 (IN)

Hospital & Practice Group Affiliations

Cleanslate Medical Group Of Indiana Llc

3005 E State Blvd, Fort Wayne, IN 468054736

Phone: 2602679498

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2016

Registered at 44 KILMARTIN CT, VALPARAISO, IN 463859304 (Tel: 2196883950)

📍

Updated Business Mailing Address June 07, 2016

Registered at 44 KILMARTIN CT, VALPARAISO, IN 463859304 (Tel: 2196883950)

👤

Provider Name / Credentials Updated June 07, 2016

Recorded as KUMPOL DENNISON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

General Practice (License #01071776A in IN)

🟢

Initial NPI Registration & Enumeration November 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275887770

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 05, 2012

Last Update: June 07, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

44 Kilmartin Ct

Valparaiso, IN 463859304

Phone: 2196883950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.