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EMILY HUGHES DOUGLAS M.D.
NPI 1174941355
Internal Medicine - Hematology & Oncology in Winston Salem, NC

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-6777(336) 716-5687 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 3, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Emily Hughes Douglas M.d. NPPES

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

EMILY HUGHES DOUGLAS M.D. (NPI 1174941355) is an individual hematology & oncology provider in Winston Salem, North Carolina, licensed in North Carolina (2020-00618) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1174941355
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameEMILY HUGHES DOUGLASCredential: M.D.
Location AddressMEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0816
Mailing AddressMedical Center BoulevardWinston Salem, NC 27157-0001 · (336) 716-6777 · Fax (336) 716-5687
Phone(336) 716-6777
Fax(336) 716-5687
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1174941355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 2020-00618
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157
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Secondary Practice Location 1

Location 11251 Lee St, Box 800744Charlottesville, VA 22908-0816 · Phone (434) 924-1931 · Fax (434) 243-5770

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Emily Hughes Douglas 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 ID5991927279
PECOS Enrollment IDI20200810001214
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 Emily Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences
Same address
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier24 claims1,781 services$0.81 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$18.90 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.

DR. KYLE EDWARD ROBINSON M.D.
Plastic Surgery
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
WENCHENG LI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
MEDICAL CENTER BOULEVARD, DEPARTMENT OF PATHOLOGY WF SCHOOL OF MEDICINE
WINSTON-SALEM, NC 27157
Forsyth County (336) 716-4311
JOSHUA DALE COX-JONES DO
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4311
RAINER RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
ANGELA SINCLAIR HILBURN CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-2555
DILLON CASEY MD
Emergency Medicine
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4625
MRS. CANDACE BROOKE LOCKLEAR PA-C
Physician Assistant
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6020
MIKHAILA THERESA MACLAREN
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4356

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 Emily Douglas's NPI number?

The NPI number for Emily Douglas is 1174941355. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Emily Douglas located?

Emily Douglas practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-6777.

What is Emily Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Emily Douglas enrolled in Medicare?

Yes. Emily 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 organization bills Medicare for Emily Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Douglas reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). 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 Emily Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Douglas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Emily Douglas 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 Emily Douglas affiliated with any hospitals?

According to CMS data, Emily Douglas is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Emily Douglas was last updated on July 21, 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.