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DOUGLAS L GAKER MD
NPI 1376545673
Urology in Middletown, OH

Active since June 01, 2005PECOS Enrolled
112 S MAIN ST, MIDDLETOWN, OH 45044(513) 423-0739(513) 423-2265 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas L Gaker Md NPPES

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

DOUGLAS L GAKER MD (NPI 1376545673) is an individual urology provider in Middletown, Ohio, licensed in Ohio (35059236) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376545673
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDOUGLAS L GAKERCredential: MD
Location Address112 S MAIN STMiddletown, OH 45044-4023
Mailing Address112 S Main StMiddletown, OH 45044-4023 · (513) 423-0739 · Fax (513) 423-2265
Phone(513) 423-0739
Fax(513) 423-2265
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 21, 2013
✔ NPI 1376545673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35059236
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
112 S MAIN ST, Middletown, OH 45044
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Other Identifiers 3

Medicaid0795135OH
Medicare PINH075570OH
Medicare UPINE51872OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas L Gaker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45044 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%265 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%505 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%534 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
38%45 patients2/55-star benchmark: 98%
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 3

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

FRANCES MARIE CATHCART PA
Physician Assistant
112 S MAIN ST
MIDDLETOWN, OH 45044
Butler County (513) 423-0739
DOUGLAS L GAKER MD INC
Urology
112 S MAIN ST
MIDDLETOWN, OH 45044
Butler County (513) 705-0071
PREMIER HEALTH SPECIALISTS INC
Urology
112 S MAIN ST
MIDDLETOWN, OH 45044
Butler County (513) 423-0739

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 Gaker's NPI number?

The NPI number for Douglas Gaker is 1376545673. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Douglas Gaker located?

Douglas Gaker practices at 112 S Main St, Middletown, OH 45044. The listed phone number is (513) 423-0739.

What is Douglas Gaker's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Douglas Gaker enrolled in Medicare?

Yes. Douglas Gaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Gaker was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.