DR. DOUGLAS R SINCLAIR D.O.
NPI 1356404107
Psychiatry & Neurology - Neuromuscular Medicine in West Columbia, SC

Q: What is Douglas Sinclair's NPI number?

The NPI number for Douglas Sinclair is 1356404107. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Douglas Sinclair's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Sinclair was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 19, 2006PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

146 E HOSPITAL DR STE 120A, WEST COLUMBIA, SC 29169(803) 936-7076(803) 936-7925 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2020, Oct 1, 2020, Jan 7, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Douglas R Sinclair D.o. NPPES

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

DR. DOUGLAS R SINCLAIR D.O. (NPI 1356404107) is an individual neuromuscular medicine provider in West Columbia, South Carolina, licensed in South Carolina (51712) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1999).

NPPES Registry Identity

NPI1356404107

Entity TypeIndividualMale

Primary Taxonomy2084N0008X

Provider Legal NameDR. DOUGLAS R SINCLAIRCredential: D.O.

Location Address146 E HOSPITAL DR STE 120AWest Columbia, SC 29169

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 936-7076

Fax(803) 936-7925

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1999

Enumeration DateDecember 19, 2006

Last NPPES UpdateNovember 11, 20205 updates tracked since enumeration

NPPES CertifiedNovember 11, 2020

✔ NPI 1356404107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084N0008X

License✔ Licensed in SC · 51712

Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 51713 (SC)

146 E HOSPITAL DR STE 120A, West Columbia, SC 29169

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas R Sinclair D.o. 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 ID143259408

PECOS Enrollment IDI20180329002526

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 Reassignment

Medicare enrollment records show Douglas Sinclair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc

Same address

Neurological Surgery

146 E HOSPITAL DR STE 140
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1720685159 (803) 936-7925

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 7

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.

573 services460 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.

250 services224 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

190 services175 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.

122 services122 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

93 services93 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.

74 services71 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County

Emergency services Birthing friendly

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.

83.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

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.

JORDAN R BARHAM NP-C

Nurse Practitioner (Adult Health)