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DOUGLAS COREY CAMPBELL M.D.
NPI 1184872335
Surgery in Oxford, AL

Active since August 29, 2008PECOS EnrolledAccepts Medicare Assignment
1400 HIGHWAY DR, OXFORD, AL 36203(256) 231-7500(256) 231-7501 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jun 5, 2023 (2 updates tracked since 2023).

About Douglas Corey Campbell M.d. NPPES

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

DOUGLAS COREY CAMPBELL M.D. (NPI 1184872335) is an individual surgery provider in Oxford, Alabama, licensed in Massachusetts (269180) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1184872335
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOUGLAS COREY CAMPBELLCredential: M.D.
Location Address1400 HIGHWAY DROxford, AL 36203-1951
Mailing AddressPo Box 2345Anniston, AL 36202-2345 · (256) 235-5015 · Fax (256) 231-2841
Phone(256) 231-7500
Fax(256) 231-7501
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008
Enumeration DateAugust 29, 2008
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1184872335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 269180
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1400 HIGHWAY DR, Oxford, AL 36203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Douglas Corey Campbell 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 ID3173839040
PECOS Enrollment IDI20240422001521
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36203 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%459 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%258 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%258 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

SRAVANI BANTU M.D
Internal Medicine
1400 HIGHWAY DR
OXFORD, AL 36203
Talladega County (256) 231-7500
JESSICA GLASS CRNP
Nurse Practitioner (Family)
1400 HIGHWAY DR
OXFORD, AL 36203
Talladega County (256) 231-7500
MS. LEXIE HESTER VAUGHN
Surgery
1400 HIGHWAY DR
OXFORD, AL 36203
Talladega County (256) 231-7500
EVELYN RENEE STAUDE MSN, RN, CRNP
Nurse Practitioner (Family)
1400 HIGHWAY DR
OXFORD, AL 36203
Talladega County (256) 231-7500

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 Campbell's NPI number?

The NPI number for Douglas Campbell is 1184872335. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Douglas Campbell located?

Douglas Campbell practices at 1400 Highway Dr, Oxford, AL 36203. The listed phone number is (256) 231-7500.

What is Douglas Campbell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Douglas Campbell enrolled in Medicare?

Yes. Douglas Campbell 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 Campbell accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Douglas Campbell 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.

When was this NPI record last updated?

The NPPES record for Douglas Campbell was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.