DR. DOUGLAS P WILLIAMS MD M.D.
NPI 1609872332
Ophthalmology in Crown Point, IN
About Dr. Douglas P Williams Md M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS P WILLIAMS MD M.D. (NPI 1609872332) is an individual ophthalmology provider in Crown Point, Indiana, licensed in Indiana (01035921A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Secondary Practice Locations 2
Other Identifiers 1
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 P Williams Md 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.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 100% | 927 |
| Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 98% | 226 |
| Closing the Referral Loop: Receipt of Specialist Report | 33% | 43 |
| Documentation of Current Medications in the Medical Record | 100% | 2665 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% | 1131 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 72% | 130 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94% | 1131 |
| Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care | 99% | 154 |
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CROWN POINT, IN 46307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609872332, enumerated as an "individual" on June 27, 2005.
The provider is located at 9797 MASSACHUSETTS ST CROWN POINT, IN 46307 and the phone number is (219) 736-2200.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
