DOUGLAS DAWSON MD
NPI 1275519043
Otolaryngology in Green Bay, WI

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
2654 S ONEIDA ST STOP 102, GREEN BAY, WI 54304(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Dawson Md NPPES

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

DOUGLAS DAWSON MD (NPI 1275519043) is an individual otolaryngology provider in Green Bay, Wisconsin, licensed in Wisconsin (84897) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1983).

NPPES Registry Identity

NPI1275519043
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDOUGLAS DAWSONCredential: MD
Location Address2654 S ONEIDA ST STOP 102Green Bay, WI 54304-5337
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838 · Fax (888) 919-1083
Fax(888) 919-1083
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1983
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1275519043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 84897
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2654 S ONEIDA ST STOP 102, Green Bay, WI 54304

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

Douglas Dawson 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 ID7719924117
PECOS Enrollment IDI20250506000516
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 3

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.
116 services75 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.
65 services65 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$42.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers29 claims29 services$113.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers108 claims115 services$41.60 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers25 claims48 services$23.12 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers47 claims92 services$17.79 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers18 claims18 services$74.88 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 3

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

Otolaryngology
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304
Nurse Practitioner
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304
Nurse Practitioner
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304

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 Dawson's NPI number?

The NPI number for Douglas Dawson is 1275519043. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Douglas Dawson located?

Douglas Dawson practices at 2654 S Oneida St Stop 102, Green Bay, WI 54304. The listed phone number is (888) 938-3838.

What is Douglas Dawson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Douglas Dawson enrolled in Medicare?

Yes. Douglas Dawson 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 Dawson accept?

Health plans from Anthem Blue Cross and Blue Shield, Mountain Health CO-OP, Sanford Health Plan and UnitedHealthcare list Douglas Dawson 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.

When was this NPI record last updated?

The NPPES record for Douglas Dawson was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.