DR. DOUGLAS MALCOLM MD
NPI 1053345868
Emergency Medicine in Hollister, CA
About Dr. Douglas Malcolm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS MALCOLM MD (NPI 1053345868) is an individual emergency medicine provider in Hollister, California, licensed in California (G61262) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Douglas Malcolm 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.
Medicare Billing Reassignments
11Medicare enrollment records show Douglas Malcolm reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gilroy, CA 95020
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1548216260 (California)
- 2,323 clinicians in this Medicare group
Hayward, CA 94545
- Reassigned Medicare billing, California enrollment
- 160 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 168 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 301 clinicians in this Medicare group
Murrieta, CA 92562
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Dallas, OR 97338
- Reassigned Medicare billing, Oregon enrollment
- 254 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 86 clinicians in this Medicare group
Arlington, WA 98223
- Reassigned Medicare billing, Oregon enrollment
- 43 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Malcolm's NPI number?
The NPI number for Douglas Malcolm is 1053345868. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Douglas Malcolm located?
Douglas Malcolm practices at 911 Sunset Dr, Hollister, CA 95023. The listed phone number is (831) 636-2640.
What is Douglas Malcolm's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Douglas Malcolm enrolled in Medicare?
Yes. Douglas Malcolm 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 Malcolm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Malcolm reassigns Medicare benefits to 11 organizations: Cep America - California (Gilroy, CA), Nes Western Group, A Professional Corporation (Hayward, CA), San Francisco Physicians International Medical Group, Inc (San Ramon, CA), Northbay Healthcare Group (Fairfield, CA), Solano Gateway Medical Group Inc (Fairfield, CA) and 6 more organizations, listed in the Medicare section above. 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 Malcolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Douglas Malcolm was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Douglas Malcolm, MD · NPI 1053345868
Emergency Medicine physician in Hollister, California. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1053345868 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G61262 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 SUNSET DR, Hollister, CA 95023-5602
- **Phone:** (831) 636-2640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1093756025, Gilroy, CA); Nes Western Group, A Professional Corporation (NPI 1588249569, Hayward, CA); San Francisco Physicians International Medical Group, Inc (NPI 1841220720, San Ramon, CA); Northbay Healthcare Group (NPI 1821147786, Fairfield, CA); Solano Gateway Medical Group Inc (NPI 1952344293, Fairfield, CA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** February 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053345868) · Data from the CMS NPPES public registry.