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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Douglas Kingma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 464 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Douglas Kingma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kingma reassigns Medicare benefits to Tennessee Oncology, PLLC (Franklin, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Kingma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Kingma accept?
Health plans from Alliant Health Plans, Inc., Cigna Healthcare 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.