TIMOTHY DOUGLASS
NPI 1023337342
Nurse Anesthetist, Certified Registered in Williamsport, PA

Active since May 26, 2010Accepts Medicare Assignment
81.54/100
CMS Quality Rating
700 HIGH ST, WILLIAMSPORT, PA 17701(570) 321-2385 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, May 26, 2021 (2 updates tracked since 2021).

About Timothy Douglass NPPES

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

TIMOTHY DOUGLASS (NPI 1023337342) is an individual nurse anesthetist, certified registered in Williamsport, Pennsylvania, licensed in Pennsylvania (RN537606) and active in the NPI registry since May 2010. He is affiliated with Upmc Williamsport and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023337342
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY DOUGLASS
Location Address700 HIGH STWilliamsport, PA 17701-3100
Mailing Address1201 Grampian Blvd, Suite 1kWilliamsport, PA 17701-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 26, 2010
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPI 1023337342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in PA · RN537606
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
700 HIGH ST, Williamsport, PA 17701

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

Timothy Douglass 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 ID1951426949
PECOS Enrollment IDI20100914001126

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

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.

Specialist/Technologist, Other (Surgical Technologist)
700 HIGH ST
WILLIAMSPORT, PA 17701
Physician Assistant
700 HIGH ST
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST, WILLIAMSPORT HOSPITAL & MEDICAL CENTER
WILLIAMSPORT, PA 17701
Internal Medicine (Pulmonary Disease)
700 HIGH ST
WILLIAMSPORT, PA 17701
Radiology (Diagnostic Radiology)
700 HIGH ST
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST
WILLIAMSPORT, PA 17701
Emergency Medicine
700 HIGH ST
WILLIAMSPORT, PA 17701
Physician Assistant
700 HIGH ST
WILLIAMSPORT, PA 17701

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 Timothy Douglass's NPI number?

The NPI number for Timothy Douglass is 1023337342. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Timothy Douglass located?

Timothy Douglass practices at 700 High St, Williamsport, PA 17701. The listed phone number is (570) 321-2385.

What is Timothy Douglass's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Timothy Douglass enrolled in Medicare?

Yes. Timothy Douglass 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 Timothy Douglass affiliated with any hospitals?

According to CMS data, Timothy Douglass is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Timothy Douglass was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.