DR. RONALD M DOUGLAS MD
NPI 1336103803
Family Medicine in Plaistow, NH

Q: What is Ronald Douglas's NPI number?

The NPI number for Ronald Douglas is 1336103803. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Ronald Douglas'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 Ronald Douglas was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 13, 2006PECOS Enrolled

49 PLAISTOW RD, PLAISTOW, NH 03865(603) 371-3229 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2023, Nov 14, 2016 (2 updates tracked since 2016).

On this page

About Dr. Ronald M Douglas Md NPPES

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

DR. RONALD M DOUGLAS MD (NPI 1336103803) is an individual family medicine provider in Plaistow, New Hampshire, licensed in New Hampshire (16901) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1996).

NPPES Registry Identity

NPI1336103803

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RONALD M DOUGLASCredential: MD

Location Address49 PLAISTOW RDPlaistow, NH 03865-2854

Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308

Phone(603) 371-3229

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1996

Enumeration DateApril 13, 2006

Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1336103803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NH · 16901✔ Licensed in MA · 254851

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.

49 PLAISTOW RD, Plaistow, NH 03865

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ronald M Douglas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911891809

PECOS Enrollment IDI20160224001383

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.

Medicare Billing Reassignments

Medicare enrollment records show Ronald Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Convenientmd - Ffs Uc LLC

Same address

Urgent Care

49 PLAISTOW RD
Plaistow, NH 03865

Reassigned Medicare billing, New Hampshire and Massachusetts enrollments
Also billed through NPI 1396436762 (Massachusetts)
108 clinicians in this Medicare group

NPI 1730870171 (603) 371-3229

Seacoast Emergency Physicians PC

23 mi

Emergency Medicine

65 CALEF HWY
Lee, NH 03861

Reassigned Medicare billing, New Hampshire enrollment
48 clinicians in this Medicare group

NPI 1740410133 (603) 868-8507

Ocumed LLC

29 mi

Emergency Medicine

789 CENTRAL AVE
Dover, NH 03820

Reassigned Medicare billing, New Hampshire enrollment
31 clinicians in this Medicare group

NPI 1417788811 (877) 485-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

146 services143 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.

110 services110 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

48 services24 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.

48 services46 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

42 services39 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220030

Location40 Wright StreetPalmer, MA 01069 · Hampden County

Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03865 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.

Other Providers at the Same Location NPPES 7

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

MRS. JENNY SUZANNE HUDON FNP-C

Nurse Practitioner (Family)