DOUGLAS C LANIER M.D.
NPI 1205825643
Internal Medicine - Nephrology in Gulfport, MS

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
48.18/100
CMS Quality Rating
4300B W RAILROAD ST, GULFPORT, MS 39501(228) 863-7393(228) 248-0344 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas C Lanier M.d. NPPES

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

DOUGLAS C LANIER M.D. (NPI 1205825643) is an individual nephrology provider in Gulfport, Mississippi, licensed in Mississippi (8833) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of University Of Alabama School Of Medicine (1974).

NPPES Registry Identity

NPI1205825643
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDOUGLAS C LANIERCredential: M.D.
Location Address4300B W RAILROAD STGulfport, MS 39501-2568
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 863-7393 · Fax (228) 248-0344
Fax(228) 248-0344
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1974
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 10, 2014
NPI 1205825643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MS · 8833
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4300B W RAILROAD ST, Gulfport, MS 39501

Other Identifiers 6

Medicare PIN390000087
Medicare PIN302G700865
Medicare PINC02221
Other390006794Railroad Medicare
Medicare UPINB301035MS
Medicaid118271MS

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 C Lanier 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 ID9133110919
PECOS Enrollment IDI20100908000755
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 7

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
407 services55 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
201 services30 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.
131 services95 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
41 services26 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
34 services26 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
26 services23 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

48.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.52
Promoting Interoperability51
Improvement Activities0
Cost53.44

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
3 suppliers15 claims42 services$6.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$91.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$175.37 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 17

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

Nurse Practitioner (Family)
4300B W RAILROAD ST
GULFPORT, MS 39501
Internal Medicine (Nephrology)
4300B W RAILROAD ST
GULFPORT, MS 39501
Nurse Practitioner (Family)
4300B W RAILROAD ST
GULFPORT, MS 39501
Nurse Practitioner (Family)
4300B W RAILROAD ST
GULFPORT, MS 39501
Internal Medicine (Nephrology)
4300B W RAILROAD ST
GULFPORT, MS 39501
Internal Medicine (Nephrology)
4300B W RAILROAD ST
GULFPORT, MS 39501
Internal Medicine (Cardiovascular Disease)
4300B W RAILROAD ST
GULFPORT, MS 39501
Internal Medicine (Nephrology)
4300B W RAILROAD ST
GULFPORT, MS 39501

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 Lanier's NPI number?

The NPI number for Douglas Lanier is 1205825643. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Douglas Lanier located?

Douglas Lanier practices at 4300B W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 863-7393.

What is Douglas Lanier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Douglas Lanier enrolled in Medicare?

Yes. Douglas Lanier 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 Lanier accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Douglas Lanier 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 Lanier affiliated with any hospitals?

According to CMS data, Douglas Lanier is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Douglas Lanier was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.