DR. DOUGLAS R DREFFER M.D.
NPI 1316940802
Family Medicine in Derry, NH

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
6 TSIENNETO RD STE 100, DERRY, NH 03038(603) 537-1300 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas R Dreffer M.d. NPPES

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

DR. DOUGLAS R DREFFER M.D. (NPI 1316940802) is an individual family medicine provider in Derry, New Hampshire, licensed in New Hampshire (10861) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1316940802
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS R DREFFERCredential: M.D.
Location Address6 TSIENNETO RD STE 100Derry, NH 03038
Mailing Address6 Buttrick Rd Ste 102Londonderry, NH 03053-3417 · (603) 537-1300
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateMay 27, 2005
Last NPPES UpdateAugust 8, 2018
NPI 1316940802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NH · 10861
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.
6 TSIENNETO RD STE 100, Derry, NH 03038

Other Identifiers 13

Other222594672NH · Health Care Value Manage#
OtherNH1835NH · Harvard Pilgrim Id#
OtherNH1855NH · Harvard Pilgrim Id# Fhc
Other01YP02400NH01NH · Anthem Id #
Medicaid30200816NH
Other2139325NH · Cigna Id#
Other01-40641NH · United Healthcare Id#
Other01Y002400NH01NH · Anthem Id# Fhc
Other222594672NH · Greatwest Healthcare Id#
Other2500010NH · Aetna Id#
OtherP00059817NH · Raidroad Medicare Id#
Other222594672NH · Private Health Care Id#
Other4126889NH · Mvp Id#

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

Dr. Douglas R Dreffer 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 ID9133024730
PECOS Enrollment IDI20031205000574
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 26

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
704 services406 patients
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.
219 services169 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
167 services167 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
148 services148 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
88 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03038 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers27 claims58 services$5.44 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$35.51 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$6.48 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers15 claims2,295 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims2,280 services$0.10 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers13 claims780 services$0.81 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 17

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

Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Family Medicine (Sports Medicine)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038

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 Dreffer's NPI number?

The NPI number for Douglas Dreffer is 1316940802. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Douglas Dreffer located?

Douglas Dreffer practices at 6 Tsienneto Rd Ste 100, Derry, NH 03038. The listed phone number is (603) 537-1300.

What is Douglas Dreffer's specialty?

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

Is Douglas Dreffer enrolled in Medicare?

Yes. Douglas Dreffer 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 Dreffer accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Douglas Dreffer 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.

Is Douglas Dreffer affiliated with any hospitals?

According to CMS data, Douglas Dreffer is affiliated with Concord Hospital, Concord Hospital- Laconia and Parkland Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Dreffer was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.