DR. DOUGLAS JOSEPH JORGENSEN DO
NPI 1043216922
Neuromusculoskeletal Medicine & OMM in Manchester, ME

Active since June 24, 2005Opted out of Medicare · through Oct 1, 2027
29 BOWDOIN ST, MANCHESTER, ME 04351(207) 622-4500(207) 622-5452 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Joseph Jorgensen Do NPPES

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

DR. DOUGLAS JOSEPH JORGENSEN DO (NPI 1043216922) is an individual neuromusculoskeletal medicine & omm provider in Manchester, Maine, licensed in Maine (ME 1550) and active in the NPI registry since June 2005. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043216922
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. DOUGLAS JOSEPH JORGENSENCredential: DO
Location Address29 BOWDOIN STManchester, ME 04351-3554
Mailing Address29 Bowdoin StManchester, ME 04351-3554 · (207) 622-4500 · Fax (207) 622-5452
Fax(207) 622-5452
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJanuary 22, 2013
NPI 1043216922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in ME · ME 1550
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
29 BOWDOIN ST, Manchester, ME 04351

Other Identifiers 4

Medicare UPING80301
Other041150ME · Anthem Bc/bs
OtherHM197880Cigna Hmo
Medicare ID-Type UnspecifiedMM7401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Douglas Joseph Jorgensen Do 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 October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
29 BOWDOIN ST
MANCHESTER, ME 04351
Clinic/Center (Multi-Specialty)
29 BOWDOIN ST
MANCHESTER, ME 04351
Nurse Practitioner (Family)
29 BOWDOIN ST
MANCHESTER, ME 04351
Neuromusculoskeletal Medicine & OMM
29 BOWDOIN ST
MANCHESTER, ME 04351

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 Jorgensen's NPI number?

The NPI number for Douglas Jorgensen is 1043216922. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Douglas Jorgensen located?

Douglas Jorgensen practices at 29 Bowdoin St, Manchester, ME 04351. The listed phone number is (207) 622-4500.

What is Douglas Jorgensen's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Douglas Jorgensen enrolled in Medicare?

No. Douglas Jorgensen has opted out of Medicare through October 1, 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.

When was this NPI record last updated?

The NPPES record for Douglas Jorgensen was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.