Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS P COLLINS MD
NPI 1033407333
Family Medicine in Cincinnati, OH

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2123 AUBURN AVE, SUITE 235, CINCINNATI, OH 45219(513) 585-3238(513) 585-3254 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2026, Oct 26, 2020 (2 updates tracked since 2020).

About Douglas P Collins Md NPPES

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

DOUGLAS P COLLINS MD (NPI 1033407333) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35-078719) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wright State University Boonshoft School Of Medicine (1998).

NPPES Registry Identity

NPI1033407333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS P COLLINSCredential: MD
Location Address2123 AUBURN AVE, SUITE 235Cincinnati, OH 45219-2906
Mailing Address1712 Race StCincinnati, OH 45202-3906 · (513) 381-2247 · Fax (513) 381-1459
Fax(513) 585-3254
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998
Enumeration DateJuly 20, 2011
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1033407333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-078719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2123 AUBURN AVE, Cincinnati, OH 45219

Secondary Practice Locations 2

Location 110450 New Haven RdHarrison, OH 45030-2780 · Phone (513) 367-5888 · Fax (513) 368-1015
Location 22170 Anderson Ferry RdCincinnati, OH 45238-3328 · Phone (513) 922-4271 · Fax (513) 922-3936

Other Identifiers 1

Medicaid2227852OH

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

Douglas P Collins 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 ID345136990
PECOS Enrollment IDI20040223000492
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Collins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
270 SOUTHERN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 28 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
522 MAXWELL AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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.

Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

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 Collins's NPI number?

The NPI number for Douglas Collins is 1033407333. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Douglas Collins located?

Douglas Collins practices at 2123 Auburn Ave Suite 235, Cincinnati, OH 45219. The listed phone number is (513) 585-3238.

What is Douglas Collins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Collins enrolled in Medicare?

Yes. Douglas Collins 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 organizations bill Medicare for Douglas Collins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Collins reassigns Medicare benefits to 3 organizations: Christian Community Health Services (Cincinnati, OH), The Healthcare Connection, Inc (Cincinnati, OH) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). Each 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 Collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Collins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Douglas Collins 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 Collins was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.