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DR. THOMAS R DOUGLAS D.D.S.
NPI 1023114071
Dentist in Nesconset, NY

Active since September 16, 2006Opted out of Medicare · through Nov 5, 2027
308 GIBBS POND RD, NESCONSET, NY 11767(631) 585-3130(631) 585-3136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas R Douglas D.d.s. NPPES

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

DR. THOMAS R DOUGLAS D.D.S. (NPI 1023114071) is an individual dentist in Nesconset, New York, licensed in New York (NY0477140) and active in the NPI registry since September 2006. He has opted out of Medicare through November 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023114071
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THOMAS R DOUGLASCredential: D.D.S.
Location Address308 GIBBS POND RDNesconset, NY 11767-2200
Mailing Address308 Gibbs Pond RdNesconset, NY 11767-2200 · (631) 585-3130 · Fax (631) 585-3136
Phone(631) 585-3130
Fax(631) 585-3136
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023114071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NY · NY0477140✔ Licensed in NJ · NJ22D102047200
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
308 GIBBS POND RD, Nesconset, NY 11767
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Thomas R Douglas D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 5, 2015 through November 5, 2027.

Opt-Out Effective DateNovember 5, 2015
Opt-Out In Effect ThroughNovember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11767 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Thomas Douglas's NPI number?

The NPI number for Thomas Douglas is 1023114071. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Thomas Douglas located?

Thomas Douglas practices at 308 Gibbs Pond Rd, Nesconset, NY 11767. The listed phone number is (631) 585-3130.

What is Thomas Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Douglas enrolled in Medicare?

No. Thomas Douglas has opted out of Medicare through November 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Douglas accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Thomas Douglas 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 Thomas Douglas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.