DR. DOUGLAS W KINGMA MD
NPI 1003871815
Pathology - Hematology in Franklin, TN
About Dr. Douglas W Kingma Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS W KINGMA MD (NPI 1003871815) is an individual hematology provider in Franklin, Tennessee, licensed in Tennessee (46486) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Franklin, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1987).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Douglas W Kingma 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.
Areas of Expertise CMS Part B claims 41
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kingma's NPI number?
The NPI number for Douglas Kingma is 1003871815. It was assigned to this individual provider in the NPPES registry on April 18, 2006.
Where is Douglas Kingma located?
Douglas Kingma practices at 448 Carothers Parkway Suite 310, Franklin, TN 37067. The listed phone number is (615) 986-4330.
What is Douglas Kingma's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.
Is Douglas Kingma enrolled in Medicare?
Yes. Douglas Kingma 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 Kingma accept?
Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Douglas Kingma 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.
When was this NPI record last updated?
The NPPES record for Douglas Kingma was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.