DR. JUSTIN WAYNE DOUGLAS MD
NPI 1326210857
Otolaryngology in Beckley, WV

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
1256 N EISENHOWER DR, BECKLEY, WV 25801(304) 254-2641 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2022, Aug 5, 2021, Feb 25, 2020 and 3 more (6 updates tracked since 2018).

About Dr. Justin Wayne Douglas Md NPPES

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

DR. JUSTIN WAYNE DOUGLAS MD (NPI 1326210857) is an individual otolaryngology provider in Beckley, West Virginia, licensed in West Virginia (23770) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326210857
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JUSTIN WAYNE DOUGLASCredential: MD
Location Address1256 N EISENHOWER DRBeckley, WV 25801-3120
Mailing Address206 Skylar DrLewisburg, WV 24901-9383 · (681) 318-3540
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateMarch 25, 2008
Last NPPES UpdateJanuary 7, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
NPI 1326210857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in WV · 23770 Licensed in VA · 0101263258 Licensed in KY · 55925
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1256 N EISENHOWER DR, Beckley, WV 25801

Secondary Practice Locations 2

Location 1306 Hospital DrSouth Williamson, KY 41503-4095 · Phone (606) 237-1789
Location 2206 Skylar DrLewisburg, WV 24901-9383 · Phone (681) 318-3540

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. Justin Wayne Douglas 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.

PECOS PAC ID143353037
PECOS Enrollment IDI20100728001268, I20220118002417
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
390 services242 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
136 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients
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.
68 services59 patients
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.
51 services51 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
42 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25801 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality76.55
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,300 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
1%1,627 patients1/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
0%418 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
1256 N EISENHOWER DR
BECKLEY, WV 25801
Internal Medicine (Cardiovascular Disease)
1256 N EISENHOWER DR
BECKLEY, WV 25801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326210857, enumerated as an "individual" on March 25, 2008.

The provider is located at 1256 N EISENHOWER DR BECKLEY, WV 25801 and the phone number is (304) 254-2641.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Justin Douglas is affiliated with: TUG VALLEY ARH REGIONAL MEDICAL CENTER, CAMC GREENBRIER VALLEY MEDICAL CENTER, INC, BECKLEY ARH HOSPITAL, RALEIGH GENERAL HOSPITAL and BOONE MEMORIAL HOSPITAL.