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JEFFREY LEE DOUGLAS M.D.
NPI 1023055290
Internal Medicine in Knoxville, TN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
1915 WHITE AVE, SUITE 601, KNOXVILLE, TN 37916(865) 525-4333(865) 212-8879 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Lee Douglas M.d. NPPES

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

JEFFREY LEE DOUGLAS M.D. (NPI 1023055290) is an individual internal medicine provider in Knoxville, Tennessee, licensed in New Mexico (2021-1051) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Leconte Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1986).

NPPES Registry Identity

NPI1023055290
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEFFREY LEE DOUGLASCredential: M.D.
Location Address1915 WHITE AVE, SUITE 601Knoxville, TN 37916-2300
Mailing Address1915 White Ave, Suite 601Knoxville, TN 37916-2300 · (865) 525-4333 · Fax (865) 212-8879
Phone(865) 525-4333
Fax(865) 212-8879
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1986
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1023055290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · 2021-1051
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License 0000028293 (TN)
1915 WHITE AVE, Knoxville, TN 37916
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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

Jeffrey Lee Douglas M.d. 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 ID3678585015
PECOS Enrollment IDI20060629000048
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services56 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%126 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims14 services$19.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims14 services$106.55 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.

MRS. LISA RUTH COOPER R.D., LDN
Dietitian, Registered
1915 WHITE AVE, THOMPSON CANCER SURVIVAL CENTER
KNOXVILLE, TN 37916
Knox County (865) 541-2036
JESSICA GOLLIHER NP-C
Nurse Practitioner (Family)
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
ALORA TERRY MS
Genetic Counselor, MS
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-4982
MS. CHERYL L VANDEWEGE
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
AHMAD NAJIB HAMMAD
Internal Medicine (Medical Oncology)
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-2863
MORGAN HARRISON
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
AMY LOUISE CAMPBELL FNP
Nurse Practitioner (Family)
1915 WHITE AVE, DEPARTMENT 100
KNOXVILLE, TN 37916
Knox County (865) 541-2865
DEENA CANTRILL
Nurse Practitioner (Family)
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720

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 Jeffrey Douglas's NPI number?

The NPI number for Jeffrey Douglas is 1023055290. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jeffrey Douglas located?

Jeffrey Douglas practices at 1915 White Ave Suite 601, Knoxville, TN 37916. The listed phone number is (865) 525-4333.

What is Jeffrey Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeffrey Douglas enrolled in Medicare?

Yes. Jeffrey Douglas 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.

Is Jeffrey Douglas affiliated with any hospitals?

According to CMS data, Jeffrey Douglas is affiliated with Leconte Medical Center and Fort Loudoun Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Douglas was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.