DR. DOUGLAS JAMES GENTRY MD
NPI 1245224435
Family Medicine in Traverse City, MI

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000(231) 346-6017 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2022, Dec 29, 2021 (2 updates tracked since 2021).

About Dr. Douglas James Gentry Md NPPES

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

DR. DOUGLAS JAMES GENTRY MD (NPI 1245224435) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (4301076105) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and maintains a secondary practice location in Kalkaska.

NPPES Registry Identity

NPI1245224435
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS JAMES GENTRYCredential: MD
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing AddressPo Box 27127Lansing, MI 48909-7127 · (231) 346-6800 · Fax (231) 346-6017
Fax(231) 346-6017
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2000
Enumeration DateSeptember 2, 2005
Last NPPES UpdateNovember 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
NPI 1245224435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301076105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1105 SIXTH ST, Traverse City, MI 49684

Secondary Practice Location 1

Location 1419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-7777 · Fax (231) 258-7786

Other Identifiers 2

Medicaid4522344MI
Other0531024MI · Blue Cross Blue Shield

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

Dr. Douglas James Gentry Md 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 ID6204932023
PECOS Enrollment IDI20070510000383
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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

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
4 suppliers12 claims38 services$6.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$21.25 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 suppliers30 claims30 services$113.51 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 20

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

Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684

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 Gentry's NPI number?

The NPI number for Douglas Gentry is 1245224435. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Douglas Gentry located?

Douglas Gentry practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Douglas Gentry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Gentry enrolled in Medicare?

Yes. Douglas Gentry 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 Gentry accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Douglas Gentry 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 Gentry affiliated with any hospitals?

According to CMS data, Douglas Gentry is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Douglas Gentry was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.