NICHOLAS ADAM DOUVILLE
NPI 1255821427
Family Medicine - Sports Medicine in Frisco, TX

Q: What is Nicholas Douville's NPI number?

The NPI number for Nicholas Douville is 1255821427. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Q: What is Nicholas Douville's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Douville was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment

3800 GAYLORD PKWY STE 830, FRISCO, TX 75034(469) 800-5720 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2022, May 15, 2018 (2 updates tracked since 2018).

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About Nicholas Adam Douville NPPES

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

NICHOLAS ADAM DOUVILLE (NPI 1255821427) is an individual sports medicine provider in Frisco, Texas, licensed in Texas (S9677) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Plano, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1255821427

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameNICHOLAS ADAM DOUVILLE

Location Address3800 GAYLORD PKWY STE 830Frisco, TX 75034-9419

Mailing Address3800 Gaylord Pkwy Ste 830Frisco, TX 75034-9419 · (469) 800-5720

Phone(469) 800-5720

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018

Enumeration DateMay 14, 2018

Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1255821427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · S9677

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3800 GAYLORD PKWY STE 830, Frisco, TX 75034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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

Nicholas Adam Douville 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 ID7012392004

PECOS Enrollment IDI20220912001524

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 Reassignment

Medicare enrollment records show Nicholas Douville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthtexas Provider Network

2.3 mi

Family Medicine

5717 LEGACY DR STE 180
Plano, TX 75024

Reassigned Medicare billing, Texas enrollment
3,167 clinicians in this Medicare group

NPI 1124809512 (888) 663-6331

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 4

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.

143 services81 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

136 services23 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.

56 services56 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

32 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 2

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

HEALTHTEXAS PROVIDER NETWORK

Durable Medical Equipment & Medical Supplies

3800 GAYLORD PKWY STE 830
FRISCO, TX 75034

Denton County (469) 800-7200

WALTER ELLISTON M.D.

Psychiatry & Neurology (Psychiatry)

3800 GAYLORD PKWY STE 830
FRISCO, TX 75034

Denton County (469) 800-5740

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 Nicholas Douville's NPI number?

The NPI number for Nicholas Douville is 1255821427. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Nicholas Douville located?

Nicholas Douville practices at 3800 Gaylord Pkwy Ste 830, Frisco, TX 75034. The listed phone number is (469) 800-5720.

What is Nicholas Douville's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Nicholas Douville enrolled in Medicare?

Yes. Nicholas Douville 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 organization bills Medicare for Nicholas Douville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Douville reassigns Medicare benefits to Healthtexas Provider Network (Plano, TX). The 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 Nicholas Douville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Douville accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Nicholas Douville 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 Nicholas Douville affiliated with any hospitals?

According to CMS data, Nicholas Douville is affiliated with Baylor Scott & White Medical Center Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Nicholas Douville was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.