DR. DOUGLAS EDWARD PITCHFORD M.D.
NPI 1255432068
Anesthesiology - Pain Medicine in Iselin, NJ

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
740 ROUTE 1 N, ISELIN, NJ 08830(732) 734-1310(732) 264-8131 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Edward Pitchford M.d. NPPES

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

DR. DOUGLAS EDWARD PITCHFORD M.D. (NPI 1255432068) is an individual pain medicine provider in Iselin, New Jersey, licensed in New Jersey (25MA04978400) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1255432068
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. DOUGLAS EDWARD PITCHFORDCredential: M.D.
Location Address740 ROUTE 1 NIselin, NJ 08830-2652
Mailing Address740 Route 1 NIselin, NJ 08830-2652 · (732) 734-1310 · Fax (732) 264-8131
Fax(732) 264-8131
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 16, 2015
NPI 1255432068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in NJ · 25MA04978400
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
740 ROUTE 1 N, Iselin, NJ 08830

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 Edward Pitchford 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 ID547357873
PECOS Enrollment IDI20071102000042
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.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
227 services201 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.
226 services82 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
202 services76 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
194 services76 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
84 services45 patients
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.
52 services39 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
77%31 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
37%337 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
DME-Other DME · category DE000N
5 suppliers21 claims21 services$12.47 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
4 suppliers19 claims19 services$864.33 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 9

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

Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Obstetrics & Gynecology
740 ROUTE 1 N
ISELIN, NJ 08830
Nurse Practitioner (Family)
740 ROUTE 1 N, RARITAN BAY MEDICAL CENTER MEDICAL PAVILION @ WOODBRIDG
ISELIN, NJ 08830
Orthopaedic Surgery
740 ROUTE 1 N
ISELIN, NJ 08830
Anesthesiology (Pain Medicine)
740 ROUTE 1 N
ISELIN, NJ 08830
Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Physician Assistant (Medical)
740 ROUTE 1 N
ISELIN, NJ 08830

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 Pitchford's NPI number?

The NPI number for Douglas Pitchford is 1255432068. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Douglas Pitchford located?

Douglas Pitchford practices at 740 Route 1 N, Iselin, NJ 08830. The listed phone number is (732) 734-1310.

What is Douglas Pitchford's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Douglas Pitchford enrolled in Medicare?

Yes. Douglas Pitchford 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 Pitchford was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.