DR. LAURIE M DOUGLASS MD
NPI 1124017975
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boston, MA

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST, SHAPIRO 8, BOSTON, MA 02118(617) 414-4841(617) 414-4502 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurie M Douglass Md NPPES

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

DR. LAURIE M DOUGLASS MD (NPI 1124017975) is an individual neurology with special qualifications in child neurology provider in Boston, Massachusetts, licensed in Massachusetts (159823) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Tufts University School Of Medicine (1994).

NPPES Registry Identity

NPI1124017975
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. LAURIE M DOUGLASSCredential: MD
Location Address725 ALBANY ST, SHAPIRO 8Boston, MA 02118-2526
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 414-4502
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1994
Enumeration DateOctober 14, 2005
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1124017975 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
License Licensed in MA · 159823
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 ListedPediatricsTaxonomy 208000000X · License 159823 (MA)
725 ALBANY ST, Boston, MA 02118

Other Names 1

Former Name (1)Dr. Laurie M Mcgonigle Md

Other Identifiers 1

Medicaid110061538AMA

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

Dr. Laurie M Douglass 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 ID5294799433
PECOS Enrollment IDI20041117000217
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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims311 services$4.30 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims2,074 services$0.56 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims1,862 services$0.63 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.

Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118

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 Laurie Douglass's NPI number?

The NPI number for Laurie Douglass is 1124017975. It was assigned to this individual provider in the NPPES registry on October 14, 2005. The provider is also known as Dr. Laurie M Mcgonigle MD.

Where is Laurie Douglass located?

Laurie Douglass practices at 725 Albany St Shapiro 8, Boston, MA 02118. The listed phone number is (617) 414-4841.

What is Laurie Douglass'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 Laurie Douglass enrolled in Medicare?

Yes. Laurie Douglass 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 Laurie Douglass accept?

Health plans from Anthem Blue Cross and Blue Shield list Laurie Douglass 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 Laurie Douglass affiliated with any hospitals?

According to CMS data, Laurie Douglass is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Laurie Douglass was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.