DOUGLAS L MIKOLS M.D.
NPI 1295787901
Family Medicine in Midland, MI

Q: What is Douglas Mikols's NPI number?

The NPI number for Douglas Mikols is 1295787901. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Douglas Mikols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Mikols was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 17, 2006PECOS EnrolledAccepts Medicare Assignment

3009 N SAGINAW RD, MIDLAND, MI 48640(989) 633-1350(989) 633-1355 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas L Mikols M.d. NPPES

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

DOUGLAS L MIKOLS M.D. (NPI 1295787901) is an individual family medicine provider in Midland, Michigan, licensed in Michigan (4301061523) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1295787901

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOUGLAS L MIKOLSCredential: M.D.

Location Address3009 N SAGINAW RDMidland, MI 48640-4555

Mailing Address4 Columbus Ave, Ste 140Bay City, MI 48708-6469 · (989) 377-4550 · Fax (989) 894-8544

Phone(989) 633-1350

Fax(989) 633-1355

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993

Enumeration DateMay 17, 2006

Last NPPES UpdateMay 21, 2021

NPPES CertifiedMay 21, 2021

✔ NPI 1295787901 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 · 4301061523

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.

3009 N SAGINAW RD, Midland, MI 48640

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Other Identifiers 2

Medicaid4923479MI

OtherP00392238MI · Medicare Railroad Carrier

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 L Mikols 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 ID5597763383

PECOS Enrollment IDI20061109000381

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

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.

99 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230041

Location1900 Columbus AveBay City, MI 48708 · Bay County

Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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.

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.

MARIELLEN WAZNY PAC

Physician Assistant (Medical)