DOUGLAS MICHAEL M.D. - NPI 1174503593 - Family Medicine in Conover, NC

Q: What is Douglas Michael's NPI number?

The NPI number for Douglas Michael is 1174503593. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Douglas Michael's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Michael was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Douglas Michael M.d. NPPES

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

DOUGLAS MICHAEL M.D. (NPI 1174503593) is an individual family medicine provider in Conover, North Carolina, licensed in North Carolina (25060) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174503593

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOUGLAS MICHAELCredential: M.D.

Location Address305 1ST ST EConover, NC 28613-1715

Mailing AddressPo Box 249Conover, NC 28613-0249 · (828) 465-9730 · Fax (828) 465-9293

Phone(828) 464-3821

Fax(828) 464-8994

Sole ProprietorNo

Enumeration DateJanuary 20, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1174503593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 25060

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedLegal MedicineTaxonomy 173000000X · License 25060 (NC)

305 1ST ST E, Conover, NC 28613

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Other Identifiers 2

Medicaid8958778NC

OtherCN8132NC · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Michael 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28613 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers30 claims104 services$6.35 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers22 claims37 services$1.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$15.46 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 12

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

BRIANNA IDALIS MORALES PA-C

Physician Assistant