DR. DOUGLAS W KINGMA MD
NPI 1003871815
Pathology - Hematology in Franklin, TN

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
448 CAROTHERS PARKWAY, SUITE 310, FRANKLIN, TN 37067(615) 986-4330(615) 550-4320 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Dec 17, 2018 (2 updates tracked since 2018).

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

NPI1003871815
Entity TypeIndividualMale
Primary Taxonomy207ZH0000X
Provider Legal NameDR. DOUGLAS W KINGMACredential: MD
Location Address448 CAROTHERS PARKWAY, SUITE 310Franklin, TN 37067
Mailing Address2004 Hayes St, Ste 800Nashville, TN 37203-2659 · (615) 514-6963 · Fax (615) 986-0560
Fax(615) 550-4320
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1987
Enumeration DateApril 18, 2006
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
NPI 1003871815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZH0000X
Licenses Licensed in TN · 46486 Licensed in NJ · 25MA08843800
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License MD430689 (PA), 17073 (OK)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 4301081425 (MI)
448 CAROTHERS PARKWAY, Franklin, TN 37067

Secondary Practice Location 1

Location 1448 Carothers Parkway, Suite 320Franklin, TN 37067 · Phone (615) 986-4330 · Fax (615) 550-4320

Other Identifiers 1

Medicaid4550124MI

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.

PECOS PAC ID3072579275
PECOS Enrollment IDI20110531000673
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 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.

Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
21,417 services844 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
1,650 services352 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
993 services320 patients
Flow cytometry technique for dna or cell analysis, first marker 88184
Flow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.
966 services845 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
893 services801 patients
Gammaglobulin (immune system protein) measurement 82784
Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
727 services81 patients

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.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.