DR. DOUGLAS ALAN HANSEN M.D.
NPI 1124061619
Pathology - Anatomic Pathology & Clinical Pathology in Manitowoc, WI

Q: What is Douglas Hansen's NPI number?

The NPI number for Douglas Hansen is 1124061619. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Douglas Hansen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Hansen was last updated on February 13, 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.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

83.31/100

CMS Quality Rating

801 YORK ST, MANITOWOC, WI 54220(920) 663-9008(920) 684-1439 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Apr 8, 2021, Mar 9, 2021 and 3 more (6 updates tracked since 2021).

On this page

About Dr. Douglas Alan Hansen M.d. NPPES

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

DR. DOUGLAS ALAN HANSEN M.D. (NPI 1124061619) is an individual anatomic pathology & clinical pathology provider in Manitowoc, Wisconsin, licensed in Wisconsin (74455-20) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pleasant Prairie, and is a graduate of University Of Washington School Of Medicine (1993).

NPPES Registry Identity

NPI1124061619

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. DOUGLAS ALAN HANSENCredential: M.D.

Location Address801 YORK STManitowoc, WI 54220-4630

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(920) 663-9008

Fax(920) 684-1439

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1993

Enumeration DateJune 13, 2006

Last NPPES UpdateFebruary 13, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1124061619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in WI · 74455-20✔ Licensed in FL · ME122758✔ Licensed in OR · MD21809✔ Licensed in WA · MD00034088

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 74455-20 (WI)

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 74455-20 (WI)

801 YORK ST, Manitowoc, WI 54220

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Secondary Practice Location 1

Location 111211 120th Ave Ste A009BPleasant Prairie, WI 53158-1703 · Phone (262) 283-5333 · Fax (262) 912-0137

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and more.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. Douglas Alan Hansen M.d. 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 ID6103821400

PECOS Enrollment IDI20210127000582

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

23,187 services15,468 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

1,903 services870 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

1,390 services1,279 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

813 services739 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

652 services509 patients

Antibody evaluation, each additional single antibody stain procedure 88350

An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.

152 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

83.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.38

Promoting Interoperability

Improvement Activities

Cost

65.82

Other Providers at the Same Location NPPES 8

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

DIANE ELYSE PERKINS MD

Pathology (Anatomic Pathology & Clinical Pathology)