DOUGLAS BIAS M.D.
NPI 1174943591
Emergency Medicine in Troy, OH

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Jul 1, 2019, Mar 12, 2019 and 1 more (4 updates tracked since 2018).

About Douglas Bias M.d. NPPES

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

DOUGLAS BIAS M.D. (NPI 1174943591) is an individual emergency medicine provider in Troy, Ohio, licensed in Ohio (35.128648) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174943591
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS BIASCredential: M.D.
Location Address600 W MAIN STTroy, OH 45373-2928
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 436-4658 · Fax (937) 436-4984
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateJuly 25, 20224 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1174943591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 35.128648
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 W MAIN ST, Troy, OH 45373

Secondary Practice Locations 3

Location 18701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 2450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 436-4658
Location 31 Kettering WayPiqua, OH 45356-4146 · Phone (937) 916-2625

Other Identifiers 1

Medicaid0173546OH

Accepted 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

Douglas Bias 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 ID5991925315
PECOS Enrollment IDI20160722001464
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
236 services232 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
147 services146 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Hospitalist
600 W MAIN ST
TROY, OH 45373
General Acute Care Hospital
600 W MAIN ST
TROY, OH 45373
Pharmacist
600 W MAIN ST
TROY, OH 45373
Physician Assistant
600 W MAIN ST
TROY, OH 45373
Psychiatry & Neurology (Neurocritical Care)
600 W MAIN ST
TROY, OH 45373
Pharmacist
600 W MAIN ST
TROY, OH 45373
Internal Medicine
600 W MAIN ST
TROY, OH 45373
Nurse Practitioner
600 W MAIN ST
TROY, OH 45373

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 Bias's NPI number?

The NPI number for Douglas Bias is 1174943591. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Douglas Bias located?

Douglas Bias practices at 600 W Main St, Troy, OH 45373. The listed phone number is (937) 980-7010.

What is Douglas Bias's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Bias enrolled in Medicare?

Yes. Douglas Bias 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.

What insurance does Douglas Bias accept?

Health plans from CareSource list Douglas Bias 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 Douglas Bias affiliated with any hospitals?

According to CMS data, Douglas Bias is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Douglas Bias was last updated on July 25, 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.