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DOUGLAS MICHAEL TRATE M.D.
NPI 1477531242
Internal Medicine - Gastroenterology in Boone, NC

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
870 STATE FARM RD, SUITE 102, BOONE, NC 28607(828) 264-0029(828) 265-3305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Michael Trate M.d. NPPES

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

DOUGLAS MICHAEL TRATE M.D. (NPI 1477531242) is an individual gastroenterology provider in Boone, North Carolina, licensed in North Carolina (96000754) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Rutgers New Jersey Medical School (1990).

NPPES Registry Identity

NPI1477531242
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDOUGLAS MICHAEL TRATECredential: M.D.
Location Address870 STATE FARM RD, SUITE 102Boone, NC 28607-4861
Mailing Address870 State Farm Rd, Suite 102Boone, NC 28607-4861 · (828) 264-0029 · Fax (828) 265-3305
Phone(828) 264-0029
Fax(828) 265-3305
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1990
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477531242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 96000754
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
870 STATE FARM RD, Boone, NC 28607
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING29320NC
Medicare ID-Type Unspecified2228187CNC
Medicaid8901472NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Douglas Michael Trate 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 ID2567464639
PECOS Enrollment IDI20100701000544
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
243 services242 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
169 services168 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
75 services75 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.
72 services55 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
47 services46 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
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.

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

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.

THOMAS J BOEVE M.D.
Otolaryngology
870 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 264-4545
R R REED D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
870 STATE FARM RD, SUITE 103 B
BOONE, NC 28607
Watauga County (828) 268-9797
DR. CHARLES W FORD JR. M.D.
Otolaryngology
870 STATE FARM RD, SUITE 101
BOONE, NC 28607
Watauga County (828) 264-4545
TUONG CATE TRATE M.D.
Physical Medicine & Rehabilitation
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-7760
APPALACHIAN GASTROENTEROLOGY PA
Internal Medicine (Gastroenterology)
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-0029
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC
Orthopaedic Surgery
870 STATE FARM RD, SUITE 100
BOONE, NC 28607
Watauga County (828) 386-2663
DR. ROBERT EDWARD LEE SHIRLEY JR. M.D.
Obstetrics & Gynecology
870 STATE FARM RD, SUITE 100
BOONE, NC 28607
Watauga County (828) 264-5464
APPALACHIAN GASTROENTEROLOGY PA
Clinic/Center (Endoscopy)
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-0029

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 Trate's NPI number?

The NPI number for Douglas Trate is 1477531242. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Douglas Trate located?

Douglas Trate practices at 870 State Farm Rd Suite 102, Boone, NC 28607. The listed phone number is (828) 264-0029.

What is Douglas Trate's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Douglas Trate enrolled in Medicare?

Yes. Douglas Trate 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 Trate accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Douglas Trate 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 Trate affiliated with any hospitals?

According to CMS data, Douglas Trate is affiliated with Watauga Medical Center and Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Trate was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.