1. Home
  2. Directory
  3. California
  4. Fort Bragg
  5. Podiatrist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS S LISTER DPM
NPI 1295958312
Podiatrist in Fort Bragg, CA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
73.79/100
CMS Quality Rating
205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251(707) 961-2722 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Douglas S Lister Dpm NPPES

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

DOUGLAS S LISTER DPM (NPI 1295958312) is an individual podiatrist in Fort Bragg, California, licensed in California (E41920) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1295958312
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDOUGLAS S LISTERCredential: DPM
Location Address205 SOUTH STFort Bragg, CA 95437-5540
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722
Phone(707) 964-1251
Fax(707) 961-2722
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1993
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 4, 2026
NPPES CertifiedSeptember 4, 2026
✔ NPI 1295958312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E41920
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
205 SOUTH ST, Fort Bragg, CA 95437
Open in Google Maps ↗

Other Identifiers 2

Medicaid000065013UT
Other6619665-0501UT · Utah License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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 S Lister Dpm 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 ID4284665100
PECOS Enrollment IDI20081203000363
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.

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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95437 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

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.

MR. RICHARD WILLIAM JAULUS LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. KIMBERLY JILL CELERI RDH
Dental Hygienist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
JOHN T WALLACE II MD
Internal Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. RENA BLAUNER LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. LYNNE BARBARA BORNHEIM LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088
SONIA CASTRO
Health Educator
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-3434
MR. MITCHELL PAUL KERMAN ACUPUNCTURIST
Acupuncturist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
DAVID TODD STEIN LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088

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 Lister's NPI number?

The NPI number for Douglas Lister is 1295958312. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Douglas Lister located?

Douglas Lister practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.

What is Douglas Lister's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Douglas Lister enrolled in Medicare?

Yes. Douglas Lister 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 Lister accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Douglas Lister 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 Lister was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.