DR. JOHN ALLEN DOUGLAS III M.D.
NPI 1316175797
Family Medicine in Bloomsburg, PA
About Dr. John Allen Douglas Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN ALLEN DOUGLAS III M.D. (NPI 1316175797) is an individual family medicine provider in Bloomsburg, Pennsylvania, licensed in Pennsylvania (MD493520) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
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
Dr. John Allen Douglas Iii 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
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 20
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 John Douglas's NPI number?
The NPI number for John Douglas is 1316175797. It was assigned to this individual provider in the NPPES registry on June 24, 2009.
Where is John Douglas located?
John Douglas practices at 240 Mall Blvd, Bloomsburg, PA 17815. The listed phone number is (570) 784-8303.
What is John Douglas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Douglas enrolled in Medicare?
Yes. John Douglas 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.
When was this NPI record last updated?
The NPPES record for John Douglas was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. John Allen Douglas III, M.D. · NPI 1316175797
Family Medicine physician in Bloomsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 24, 2009.
## Identity
- **NPI:** 1316175797 (Entity type: Individual)
- **Enumerated:** June 24, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD493520 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 MALL BLVD, Bloomsburg, PA 17815-8306
- **Phone:** (570) 784-8303 · **Fax:** (570) 387-5030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Maryland School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316175797) · Data from the CMS NPPES public registry.