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DR. DOUGLAS R HOGOBOOM DO
NPI 1083979801
Preventive Medicine - Aerospace Medicine in Fort Rucker, AL

Active since July 09, 2012PECOS Enrolled
301 ANDREWS AVE, FORT RUCKER, AL 36362(800) 261-7193 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Aug 10, 2023, May 12, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Douglas R Hogoboom Do NPPES

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

DR. DOUGLAS R HOGOBOOM DO (NPI 1083979801) is an individual aerospace medicine provider in Fort Rucker, Alabama, licensed in Nebraska (1144) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083979801
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameDR. DOUGLAS R HOGOBOOMCredential: DO
Location Address301 ANDREWS AVEFort Rucker, AL 36362-5333
Mailing Address301 Andrews AveFort Rucker, AL 36362-5333 · (800) 261-7193
Phone(800) 261-7193
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1083979801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in NE · 1144
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1144 (NE)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 1144 (NE)
301 ANDREWS AVE, Fort Rucker, AL 36362
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas R Hogoboom Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36362 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

MR. VIRGIL THOMAS SPEECE APA-C
Physician Assistant
301 ANDREWS AVE
FT RUCKER, AL 36362
Dale County (334) 255-7387
VICTOR CLEMENTS
Nurse's Aide
301 ANDREWS AVE, LAHC
FORT RUCKER, AL 36362
Dale County (334) 255-7118
DR. JOSEPH JOHN PAVELITES I MD
Preventive Medicine (Aerospace Medicine)
301 ANDREWS AVE, LYSTER ARMY MEDICAL CENTER
FORT RUCKER, AL 36362
Dale County (334) 255-7000
DR. JUSTIN CHIHYAN PAO O.D.
Optometrist
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (800) 261-7193
MATTHEW DAVID CHAPPELL PA
Physician Assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (334) 255-3853
SHANICE COLEMAN MEDICAL ASSISTANT
Technician
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (333) 255-7755
MRS. MARISSA B WILLIAMS RN
Registered Nurse (Ambulatory Care)
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (334) 255-7574
JUSTIN TETREAULT RN
Registered Nurse
301 ANDREWS AVE, LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Dale County (334) 255-7341

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 Hogoboom's NPI number?

The NPI number for Douglas Hogoboom is 1083979801. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Douglas Hogoboom located?

Douglas Hogoboom practices at 301 Andrews Ave, Fort Rucker, AL 36362. The listed phone number is (800) 261-7193.

What is Douglas Hogoboom's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Douglas Hogoboom enrolled in Medicare?

Yes. Douglas Hogoboom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Hogoboom was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.