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DOUGLAS WAYNE MIYAZAKI M.D.
NPI 1053352435
Obstetrics & Gynecology in Winston Salem, NC

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
770 HIGHLAND OAKS DR STE 100, WINSTON SALEM, NC 27103(367) 181-9703(336) 774-8601 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Oct 25, 2020, Feb 5, 2019 (3 updates tracked since 2019).

About Douglas Wayne Miyazaki M.d. NPPES

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

DOUGLAS WAYNE MIYAZAKI M.D. (NPI 1053352435) is an individual obstetrics & gynecology provider in Winston Salem, North Carolina, licensed in North Carolina (36576) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1053352435
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDOUGLAS WAYNE MIYAZAKICredential: M.D.
Location Address770 HIGHLAND OAKS DR STE 100Winston Salem, NC 27103-7105
Mailing AddressPo Box 604136Charlotte, NC 28260-4136
Phone(367) 181-9703
Fax(336) 774-8601
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 9, 2006
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1053352435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 36576
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
770 HIGHLAND OAKS DR STE 100, Winston Salem, NC 27103
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Other Identifiers 1

Medicaid8959811NC

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 Wayne Miyazaki M.d. 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 ID3375556251
PECOS Enrollment IDI20090725000100
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

2

Medicare enrollment records show Douglas Miyazaki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nmg Health Services, LLC
Same address
Urogynecology and Reconstructive Pelvic Surgery
770 HIGHLAND OAKS DR STE 100
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1437026499 (336) 718-1970
Novant Health Medical Group, LLC
Same address
Urogynecology and Reconstructive Pelvic Surgery
770 HIGHLAND OAKS DR, SUITE 100
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1497119283 (336) 718-1970

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 8

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
143 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services74 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
48 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
96%45 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%57 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%68 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%50 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
7%57 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

ELIZABETH GREEN WILLIAMS BRAXTON MD
Obstetrics & Gynecology
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
NMG HEALTH SERVICES, LLC
Urology (Urogynecology and Reconstructive Pelvic Surgery)
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
NMG HEALTH SERVICES, LLC
Urology (Urogynecology and Reconstructive Pelvic Surgery)
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
MRS. MELISSA YORK THARPE WHNP
Nurse Practitioner
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
MS. SUSAN DENISE HENSLEY HANNAH AGNP-C
Nurse Practitioner
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
DINA ADEL BASTAWROS MD
Obstetrics & Gynecology
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
SHANNA GARRIS STEELMAN WHNP-BC
Nurse Practitioner
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970
GIANNA SEELAND DAUGHERTY MD
Obstetrics & Gynecology
770 HIGHLAND OAKS DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-1970

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 Miyazaki's NPI number?

The NPI number for Douglas Miyazaki is 1053352435. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Douglas Miyazaki located?

Douglas Miyazaki practices at 770 Highland Oaks Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (367) 181-9703.

What is Douglas Miyazaki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Miyazaki enrolled in Medicare?

Yes. Douglas Miyazaki 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 Miyazaki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Miyazaki reassigns Medicare benefits to 2 organizations: Nmg Health Services, LLC (Winston Salem, NC) and Novant Health Medical Group, LLC (Winston Salem, NC). 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 Miyazaki'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 Miyazaki was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.