DR. DOUGLAS J HYDER M.D.
NPI 1104834605
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Gainesville, FL

Active since August 03, 2006PECOS Enrolled
78.18/100
CMS Quality Rating
1600 SW ARCHER RD # 100296, GAINESVILLE, FL 32610(617) 636-5000 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Douglas J Hyder M.d. NPPES

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

DR. DOUGLAS J HYDER M.D. (NPI 1104834605) is an individual neurology with special qualifications in child neurology provider in Gainesville, Florida, licensed in Florida (ME134974) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104834605
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. DOUGLAS J HYDERCredential: M.D.
Location Address1600 SW ARCHER RD # 100296Gainesville, FL 32610
Mailing Address1600 Sw Archer Rd # 100296Gainesville, FL 32610-3003
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 24, 2018
✔ NPI 1104834605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in FL · ME134974✔ Licensed in NH · 12744
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 12744 (NH)
1600 SW ARCHER RD # 100296, Gainesville, FL 32610

Other Identifiers 1

Medicaid024242500FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas J Hyder 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 Douglas Hyder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Pediatrics (Pediatric Nephrology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Pediatrics (Pediatric Endocrinology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Pediatrics (Pediatric Pulmonology)
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610
Pediatrics
1600 SW ARCHER RD # 100296
GAINESVILLE, FL 32610

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 Hyder's NPI number?

The NPI number for Douglas Hyder is 1104834605. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Douglas Hyder located?

Douglas Hyder practices at 1600 SW Archer Rd # 100296, Gainesville, FL 32610. The listed phone number is (617) 636-5000.

What is Douglas Hyder's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Douglas Hyder enrolled in Medicare?

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

Which organization bills Medicare for Douglas Hyder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Hyder reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Douglas Hyder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Hyder accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Douglas Hyder 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.

When was this NPI record last updated?

The NPPES record for Douglas Hyder was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.