SEAN PHILIP DOUGLAS MD
NPI 1093081168
Urology in Hattiesburg, MS

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5888(601) 579-5240 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2020, Aug 30, 2017, Jul 7, 2017 (3 updates tracked since 2017).

About Sean Philip Douglas Md NPPES

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

SEAN PHILIP DOUGLAS MD (NPI 1093081168) is an individual urology provider in Hattiesburg, Mississippi, licensed in Mississippi (24850) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of University Of Mississippi School Of Medicine (2012).

NPPES Registry Identity

NPI1093081168
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSEAN PHILIP DOUGLASCredential: MD
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 261-3587
Fax(601) 579-5240
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2012
Enumeration DateMarch 22, 2012
Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1093081168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MS · 24850
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
415 S 28TH AVE, Hattiesburg, MS 39401

Other Identifiers 1

Medicaid07770363MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sean Philip Douglas 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 ID2567686348
PECOS Enrollment IDI20170731001768
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.

Areas of Expertise CMS Part B claims 30

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.
807 services607 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.
517 services403 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.
500 services429 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
371 services261 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
336 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services182 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Highland Community Hospital

Acute Care Hospitals · Picayune, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250117
Location130 Highland PkwyPicayune, MS 39466 · Pearl River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims2,850 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers37 claims4,820 services$1.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401

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 Sean Douglas's NPI number?

The NPI number for Sean Douglas is 1093081168. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Sean Douglas located?

Sean Douglas practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5888.

What is Sean Douglas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sean Douglas enrolled in Medicare?

Yes. Sean Douglas 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.

What insurance does Sean Douglas accept?

Health plans from Molina Healthcare and UnitedHealthcare list Sean Douglas 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.

Is Sean Douglas affiliated with any hospitals?

According to CMS data, Sean Douglas is affiliated with Forrest General Hospital and Highland Community Hospital.

When was this NPI record last updated?

The NPPES record for Sean Douglas was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.