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AMY LEANN DOUGLAS M.D.
NPI 1104142454
Emergency Medicine in Pomona, CA

Active since April 12, 2010PECOS Enrolled
94.62/100
CMS Quality Rating
1798 N GAREY AVE, POMONA, CA 91767(909) 865-9500 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Leann Douglas M.d. NPPES

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

AMY LEANN DOUGLAS M.D. (NPI 1104142454) is an individual emergency medicine provider in Pomona, California, licensed in California (A118894) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104142454
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameAMY LEANN DOUGLASCredential: M.D.
Location Address1798 N GAREY AVEPomona, CA 91767-2918
Mailing Address1798 N Garey AvePomona, CA 91767-2918 · (909) 865-9500
Phone(909) 865-9500
Sole ProprietorNo
Enumeration DateApril 12, 2010
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1104142454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A118894
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1798 N GAREY AVE, Pomona, CA 91767
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Leann Douglas M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - California
Same address
Emergency Medicine
1798 N. GAREY AVENUE
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1740235258 (909) 865-9500

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
94 services94 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

MARIA CONSUELO CASTELAN RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 528-5046
HSIENHWA CHOU RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 860-7799
MR. CYRUS QUEROL P.A.
Physician Assistant
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (510) 350-2698
VESTA NICOLE GUIV PHARMD
Pharmacist
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9500
JENJIRA SORRECA DO RD
Dietitian, Registered
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9501
VICTORIA SUSAN CHIDBOY RN
Registered Nurse (Critical Care Medicine)
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9500
MARTI JO KUNISHIMA PT
Physical Therapist
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 865-9810
RACHEL ANN CHATER LEA
Physician Assistant
1798 N GAREY AVE
POMONA, CA 91767
Los Angeles County (949) 973-3290

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 Amy Douglas's NPI number?

The NPI number for Amy Douglas is 1104142454. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Amy Douglas located?

Amy Douglas practices at 1798 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 865-9500.

What is Amy Douglas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Amy Douglas enrolled in Medicare?

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

Which organization bills Medicare for Amy Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Douglas reassigns Medicare benefits to Cep America - California (Pomona, CA). The 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 Amy Douglas'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 Amy Douglas was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.