DOUGLAS DAWSON MD
NPI 1275519043
Otolaryngology in Green Bay, WI
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 (84897-20) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Oregon Health Sciences University School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Douglas Dawson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wauwatosa, WI 53222
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
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 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.
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.
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.
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.
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.
Which organization bills Medicare for Douglas Dawson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dawson reassigns Medicare benefits to Advanced Ear Nose & Throat Specialists, Sc (Wauwatosa, WI). 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 Douglas Dawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Dawson accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Security 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 October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Douglas Dawson, MD · NPI 1275519043
Otolaryngology physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since December 22, 2005.
## Identity
- **NPI:** 1275519043 (Entity type: Individual)
- **Enumerated:** December 22, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 84897-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2654 S ONEIDA ST STOP 102, Green Bay, WI 54304-5337
- **Phone:** (888) 938-3838 · **Fax:** (888) 919-1083
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Ear Nose & Throat Specialists, Sc (NPI 1689782427, Wauwatosa, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1983
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275519043) · Data from the CMS NPPES public registry.