DR. RAYMOND S DOUGLAS MD, PHD
NPI 1124041959
Ophthalmology in Beverly Hills, CA
About Dr. Raymond S Douglas Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAYMOND S DOUGLAS MD, PHD (NPI 1124041959) is an individual ophthalmology provider in Beverly Hills, California, licensed in California (A77544) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Raymond S Douglas Md, Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raymond Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beverly Hills, CA 90210
- Reassigned Medicare billing, California and Nevada enrollments
- Medicare enrollment name: Raymond Douglas MD Phd A Professional Corporation
- Also billed through NPI 1538901830 (Nevada)
Beverly Hills, CA 90210
- Reassigned Medicare billing, California and Nevada enrollments
- Medicare enrollment name: Thrive Health Iv Clinic PC
- Also billed through NPI 1861182867 (Nevada)
- 10 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BEVERLY HILLS, CA 90210
BEVERLY HILLS, CA 90210
BEVERLY HILLS, CA 90210
BEVERLY HILLS, CA 90210
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 Raymond Douglas's NPI number?
The NPI number for Raymond Douglas is 1124041959. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Raymond Douglas located?
Raymond Douglas practices at 9675 Brighton Way Ste 410, Beverly Hills, CA 90210. The listed phone number is (310) 363-8757.
What is Raymond Douglas's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Raymond Douglas enrolled in Medicare?
Yes. Raymond 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.
Which organizations bill Medicare for Raymond Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Douglas reassigns Medicare benefits to 2 organizations: Raymond Douglas, M.D., Phd A Professional Corporation (Beverly Hills, CA) and Thrive Health IV Clinic, P.C. (Beverly Hills, CA). Each 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 Raymond Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Raymond Douglas affiliated with any hospitals?
According to CMS data, Raymond Douglas is affiliated with Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Raymond Douglas was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Raymond S Douglas, MD, PHD · NPI 1124041959
Ophthalmology physician in Beverly Hills, California. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1124041959 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A77544 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9675 BRIGHTON WAY STE 410, Beverly Hills, CA 90210-5192
- **Phone:** (310) 363-8757 · **Fax:** (310) 363-8758
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Raymond Douglas, M.D., Phd A Professional Corporation (NPI 1437773520, Beverly Hills, CA); Thrive Health IV Clinic, P.C. (NPI 1386343580, Beverly Hills, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 1998
## Record status
- **NPPES last updated:** July 27, 2023
- **Other identifiers:** Medicaid 00A775440 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124041959) · Data from the CMS NPPES public registry.