DR. NATHAN DOUGLASS M.D.
NPI 1407147655
Orthopaedic Surgery - Hand Surgery in Larchmont, NY

Active since April 22, 2011PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
2345 BOSTON POST RD, LARCHMONT, NY 10538(914) 849-7400 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2023, Feb 4, 2020, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Dr. Nathan Douglass M.d. NPPES

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

DR. NATHAN DOUGLASS M.D. (NPI 1407147655) is an individual hand surgery provider in Larchmont, New York, licensed in New York (301056) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2011).

NPPES Registry Identity

NPI1407147655
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. NATHAN DOUGLASSCredential: M.D.
Location Address2345 BOSTON POST RDLarchmont, NY 10538-3556
Mailing Address688 White Plains Rd Ste 225Scarsdale, NY 10583-5015 · (914) 337-3976
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2011
Enumeration DateApril 22, 2011
Last NPPES UpdateMay 19, 20236 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1407147655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in NY · 301056 Licensed in CT · 56556
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A 122298 (CA), 301056 (NY)
2345 BOSTON POST RD, Larchmont, NY 10538

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. Nathan Douglass 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 ID5496029100
PECOS Enrollment IDI20191205002877
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 17

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,194 services207 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.
302 services302 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.
250 services183 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.
238 services185 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
228 services154 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
191 services132 patients

Hospital Affiliations CMS Care Compare 2

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Skyline Hospital

Critical Access Hospitals · White Salmon, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501315
Location211 Skyline DriveWhite Salmon, WA 98672 · Klickitat County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10538 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers38 claims38 services$59.49 avg. paid by Medicare
Addition to upper extremity orthosis, sock, fracture or equal, each L3995
DME-Orthotic Devices · category DF000N
1 supplier15 claims30 services$33.24 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 2

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

Obstetrics & Gynecology
2345 BOSTON POST RD
LARCHMONT, NY 10538
Internal Medicine
2345 BOSTON POST RD
LARCHMONT, NY 10538

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 Nathan Douglass's NPI number?

The NPI number for Nathan Douglass is 1407147655. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Nathan Douglass located?

Nathan Douglass practices at 2345 Boston Post Rd, Larchmont, NY 10538. The listed phone number is (914) 849-7400.

What is Nathan Douglass's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Nathan Douglass enrolled in Medicare?

Yes. Nathan Douglass 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.

Is Nathan Douglass affiliated with any hospitals?

According to CMS data, Nathan Douglass is affiliated with White Plains Hospital Center and Skyline Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Douglass was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.