BARRY K DOUGLAS M.D.
NPI 1235108515
Specialist in Garden City, NY

Q: What is Barry Douglas's NPI number?

The NPI number for Barry Douglas is 1235108515. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Barry Douglas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Barry Douglas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment

999 FRANKLIN AVE, GARDEN CITY, NY 11530(516) 742-3404(516) 294-6942 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Barry K Douglas M.d. NPPES

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

BARRY K DOUGLAS M.D. (NPI 1235108515) is an individual specialist in Garden City, New York, licensed in New York (148818) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1235108515

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameBARRY K DOUGLASCredential: M.D.

Location Address999 FRANKLIN AVEGarden City, NY 11530-2913

Mailing Address999 Franklin AveGarden City, NY 11530-2913 · (516) 742-3404 · Fax (516) 294-6942

Phone(516) 742-3404

Fax(516) 294-6942

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateMarch 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1235108515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 148818

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

999 FRANKLIN AVE, Garden City, NY 11530

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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

Barry K 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 ID7214956382

PECOS Enrollment IDI20051117000582

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 Reassignments

Medicare enrollment records show Barry Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Island Plastic Surgical Group, PC

Same address

Specialist

999 FRANKLIN AVE
Garden City, NY 11530

Reassigned Medicare billing, New York enrollment
33 clinicians in this Medicare group

NPI 1821164526 (516) 742-3404

Nassau Health Care Corporation

1.4 mi

Clinic/Center

135 MAIN ST
Hempstead, NY 11550

Reassigned Medicare billing, New York enrollment
553 clinicians in this Medicare group

NPI 1225054125 (516) 572-1300

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 2

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.

36 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330259

Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County

Emergency services Birthing friendly

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

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

21%1,056 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%113 patients5/55-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.

96%392 patients4/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

14%77 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

31%327 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 88% · 121 patients

99%121 patients

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…

55%392 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

10%392 patients1/55-star benchmark: 59%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 77 patients

0%77 patients5/55-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 20

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

MISS KATHERINE ELIZABETH ARAUJO PA-C

Physician Assistant (Surgical)

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 742-3404

DR. RICHARD GARETT REISH MD

Plastic Surgery

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 742-3404

DR. FINNY GEORGE M.D.

Surgery (Plastic and Reconstructive Surgery)

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 535-6712

MARIANNA TORRE P.A.

Physician Assistant (Surgical)

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 504-3014

TIFFANY CHEUNG

Physician Assistant

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 535-6751

DR. MICHAEL DOBRYANSKY MD

Plastic Surgery

999 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530

Nassau County (516) 742-3404

JESSICA PEREIRA PA

Physician Assistant (Surgical)

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 504-3014

GENE W LEE M.D.

Specialist

999 FRANKLIN AVE
GARDEN CITY, NY 11530

Nassau County (516) 742-3404

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 Barry Douglas's NPI number?

The NPI number for Barry Douglas is 1235108515. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Barry Douglas located?

Barry Douglas practices at 999 Franklin Ave, Garden City, NY 11530. The listed phone number is (516) 742-3404.

What is Barry Douglas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Barry Douglas enrolled in Medicare?

Yes. Barry 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 organizations bill Medicare for Barry Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Douglas reassigns Medicare benefits to 2 organizations: Long Island Plastic Surgical Group, PC (Garden City, NY) and Nassau Health Care Corporation (Hempstead, NY). Each 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 Barry Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Barry Douglas affiliated with any hospitals?

According to CMS data, Barry Douglas is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Douglas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.