DOUGLAS PLACAIS PA
NPI 1215570825
Physician Assistant - Medical in Verona, PA

Active since October 26, 2019PECOS EnrolledAccepts Medicare Assignment
90.63/100
CMS Quality Rating
5769 SALTSBURG RD, VERONA, PA 15147(412) 793-8870 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2023, May 7, 2023, Jun 15, 2021 and 3 more (6 updates tracked since 2019).

About Douglas Placais Pa NPPES

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

DOUGLAS PLACAIS PA (NPI 1215570825) is an individual medical provider in Verona, Pennsylvania, licensed in Pennsylvania (MA060604) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215570825
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS PLACAISCredential: PA
Location Address5769 SALTSBURG RDVerona, PA 15147-3257
Mailing Address5769 Saltsburg RdVerona, PA 15147-3257 · (412) 793-8870
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 26, 2019
Last NPPES UpdateMay 9, 20236 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1215570825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA060604
5769 SALTSBURG RD, Verona, PA 15147

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 Placais Pa 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 ID8224464102
PECOS Enrollment IDI20200213000247
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services53 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
29 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services17 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.
15 services13 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.
13 services13 patients

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.

90.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.33
Promoting Interoperability100
Improvement Activities40
Cost81.45

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.

Nurse Practitioner (Family)
5769 SALTSBURG RD
VERONA, PA 15147
Nurse Practitioner (Family)
5769 SALTSBURG RD
VERONA, PA 15147
Dentist (General Practice)
5769 SALTSBURG RD
VERONA, PA 15147
Family Medicine (Geriatric Medicine)
5769 SALTSBURG RD
VERONA, PA 15147
Non-Pharmacy Dispensing Site
5769 SALTSBURG RD
VERONA, PA 15147
Family Medicine
5769 SALTSBURG RD
VERONA, PA 15147
Physician Assistant (Medical)
5769 SALTSBURG RD
VERONA, PA 15147
Social Worker (Clinical)
5769 SALTSBURG RD
VERONA, PA 15147

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 Placais's NPI number?

The NPI number for Douglas Placais is 1215570825. It was assigned to this individual provider in the NPPES registry on October 26, 2019.

Where is Douglas Placais located?

Douglas Placais practices at 5769 Saltsburg Rd, Verona, PA 15147. The listed phone number is (412) 793-8870.

What is Douglas Placais's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Douglas Placais enrolled in Medicare?

Yes. Douglas Placais 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.

When was this NPI record last updated?

The NPPES record for Douglas Placais was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.