DR. DOUGLAS ARMSTRONG ACKERMAN M.D.
NPI 1174636344
Urology in Clackamas, OR

Q: What is Douglas Ackerman's NPI number?

The NPI number for Douglas Ackerman is 1174636344. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Douglas Ackerman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ackerman was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 15, 2006PECOS Enrolled

9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Douglas Armstrong Ackerman M.d. NPPES

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

DR. DOUGLAS ARMSTRONG ACKERMAN M.D. (NPI 1174636344) is an individual urology provider in Clackamas, Oregon, licensed in Oregon (MD16033) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174636344

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. DOUGLAS ARMSTRONG ACKERMANCredential: M.D.

Location Address9900 SE SUNNYSIDE RDClackamas, OR 97015-9777

Mailing Address9900 Se Sunnyside RdClackamas, OR 97015-9777 · (503) 652-2880

Phone(503) 652-2880

Sole ProprietorNo

Enumeration DateAugust 15, 2006

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1174636344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in OR · MD16033✔ Licensed in WA · MD00034742

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

9900 SE SUNNYSIDE RD, Clackamas, OR 97015

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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 Armstrong Ackerman 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 Ackerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest

0.2 mi

Sleep Disorder Diagnostic

9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015

Reassigned Medicare billing, Oregon enrollment
3,207 clinicians in this Medicare group

NPI 1174851505 (503) 659-2454

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 97015 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. RONALD LEE LOHMAN MD

Orthopaedic Surgery

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-4227

DR. SCOTT KEOLA MIYAKE M.D.

Internal Medicine (Nephrology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

JO M MARTIN MD

Dermatology

9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015

Clackamas County (503) 571-3332

DALE FOSSATI

Physician Assistant (Medical)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-8240

SARAH COX MSW

Counselor (Mental Health)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (971) 235-7583

NOEL M LEE MD

Internal Medicine (Gastroenterology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

MS. BRENDA LOU BUCK RD

Dietitian, Registered

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-3764

DR. JEFFERY ZHU HU MD

Dermatology

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

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 Ackerman's NPI number?

The NPI number for Douglas Ackerman is 1174636344. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Douglas Ackerman located?

Douglas Ackerman practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Douglas Ackerman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Douglas Ackerman enrolled in Medicare?

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

Which organization bills Medicare for Douglas Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Ackerman reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Ackerman was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.