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DOUGLAS A POPE MD
NPI 1093786857
Internal Medicine in Lancaster, OH

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
71.23/100
CMS Quality Rating
1548 SHERIDAN DR, SUITE 200, LANCASTER, OH 43130(740) 689-9860(740) 689-9863 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas A Pope Md NPPES

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

DOUGLAS A POPE MD (NPI 1093786857) is an individual internal medicine provider in Lancaster, Ohio, licensed in Ohio (35 06 7069 P) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1093786857
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS A POPECredential: MD
Location Address1548 SHERIDAN DR, SUITE 200Lancaster, OH 43130
Mailing Address1548 Sheridan Dr, Suite 200Lancaster, OH 43130 · (740) 689-9860 · Fax (740) 689-9863
Phone(740) 689-9860
Fax(740) 689-9863
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 24, 2012
✔ NPI 1093786857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35 06 7069 P
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 35 06 7069 P (OH)
1548 SHERIDAN DR, Lancaster, OH 43130
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Other Identifiers 3

Medicare UPING07857
Medicaid2020922OH
Medicare PIN0785295OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Douglas A Pope 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 ID7810024601
PECOS Enrollment IDI20100428000049
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
311 services141 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
145 services140 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
77 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
58 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

71.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability87
Improvement Activities40
Cost58.69

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$17.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$83.69 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 4

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

MARK S LEPI MD
Internal Medicine
1548 SHERIDAN DR, STE 200
LANCASTER, OH 43130
Fairfield County (740) 689-9860
BUCKEYE FAMILY HEALTH LLC
Internal Medicine
1548 SHERIDAN DR, SUITE 200
LANCASTER, OH 43130
Fairfield County (740) 689-9860
LAURA E MORGAN MD
Internal Medicine
1548 SHERIDAN DR, SUITE 200
LANCASTER, OH 43130
Fairfield County (740) 689-9860
DR. LAURENCE KOBINA ENTSUAH M.D.
Internal Medicine (Gastroenterology)
1548 SHERIDAN DR, SUITE 100A
LANCASTER, OH 43130
Fairfield County (740) 681-9575

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 Pope's NPI number?

The NPI number for Douglas Pope is 1093786857. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Douglas Pope located?

Douglas Pope practices at 1548 Sheridan Dr Suite 200, Lancaster, OH 43130. The listed phone number is (740) 689-9860.

What is Douglas Pope's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Pope enrolled in Medicare?

Yes. Douglas Pope 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 Douglas Pope accept?

Health plans from CareSource list Douglas Pope 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 Douglas Pope affiliated with any hospitals?

According to CMS data, Douglas Pope is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Pope was last updated on August 24, 2012. 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.