DR. DOUGLAS J ALTHOUSE MD
NPI 1447283601
Family Medicine in Minden, NE

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
727 E 1ST ST, MINDEN, NE 68959(308) 832-3400(308) 832-3402 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas J Althouse Md NPPES

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

DR. DOUGLAS J ALTHOUSE MD (NPI 1447283601) is an individual family medicine provider in Minden, Nebraska, licensed in Nebraska (22934) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2003).

NPPES Registry Identity

NPI1447283601
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS J ALTHOUSECredential: MD
Location Address727 E 1ST STMinden, NE 68959-1705
Mailing Address727 E 1st StMinden, NE 68959-1705 · (308) 832-3400 · Fax (308) 832-3402
Fax(308) 832-3402
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateJuly 9, 2006
Last NPPES UpdateJune 27, 2014
NPI 1447283601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 22934
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.

727 E 1ST ST, Minden, NE 68959

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. Douglas J Althouse 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 ID5092778001
PECOS Enrollment IDI20041110000994
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280032
Location715 N St Joseph AveHastings, NE 68901 · Adams County
Emergency services Birthing friendly

Kearney County Health Services Hospital

Critical Access Hospitals · Minden, NE
OwnershipGovernment - Local
CMS Certification Number281306
Location727 East 1st StMinden, NE 68959 · Kearney County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68959 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability94.37
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 23

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers83 claims149 services$5.88 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims132 services$1.94 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims15 services$7.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers39 claims39 services$44.72 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims189 services$9.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers35 claims35 services$118.03 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 20

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

Nurse Practitioner (Family)
727 E 1ST ST
MINDEN, NE 68959
Clinic/Center (Rural Health)
727 E 1ST ST
MINDEN, NE 68959
Hospice Care, Community Based
727 E 1ST ST
MINDEN, NE 68959
Nurse Practitioner
727 E 1ST ST
MINDEN, NE 68959
Clinic/Center (Rural Health)
727 E 1ST ST
MINDEN, NE 68959
Counselor (Mental Health)
727 E 1ST ST
MINDEN, NE 68959
General Acute Care Hospital (Critical Access)
727 E 1ST ST
MINDEN, NE 68959
Family Medicine
727 E 1ST ST
MINDEN, NE 68959

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 Althouse's NPI number?

The NPI number for Douglas Althouse is 1447283601. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Douglas Althouse located?

Douglas Althouse practices at 727 E 1st St, Minden, NE 68959. The listed phone number is (308) 832-3400.

What is Douglas Althouse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Althouse enrolled in Medicare?

Yes. Douglas Althouse 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.

What insurance does Douglas Althouse accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Douglas Althouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Althouse affiliated with any hospitals?

According to CMS data, Douglas Althouse is affiliated with Chi Health Good Samaritan, Mary Lanning Healthcare and Kearney County Health Services Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Althouse was last updated on June 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.