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DR. DOUGLAS C CLINE M.D.
NPI 1619934858
Specialist in Queensbury, NY

Active since May 01, 2006Opted out of Medicare · through Sep 1, 2027
104 MAIN ST, DOUGLAS C CLINE, M.D., P.C., QUEENSBURY, NY 12804(518) 223-0812(518) 223-0813 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas C Cline M.d. NPPES

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

DR. DOUGLAS C CLINE M.D. (NPI 1619934858) is an individual specialist in Queensbury, New York, licensed in New Jersey (MA59582) and active in the NPI registry since May 2006. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1619934858
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DOUGLAS C CLINECredential: M.D.
Location Address104 MAIN ST, DOUGLAS C CLINE, M.D., P.C.Queensbury, NY 12804-4055
Mailing Address104 Main St, Douglas C Cline, M.d., P.c.Queensbury, NY 12804-4055 · (518) 223-0812 · Fax (518) 223-0813
Phone(518) 223-0812
Fax(518) 223-0813
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1986
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 7, 2010
✔ NPI 1619934858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA59582
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MA059582 (NJ), 231033 (NY)
104 MAIN ST, Queensbury, NY 12804
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Other Identifiers 2

Medicaid5569702NJ
Medicare UPINE69172NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas C Cline M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2013 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2013
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DOUGLAS C. CLINE, M.D., P.C.
Family Medicine
104 MAIN ST
QUEENSBURY, NY 12804
Warren County (518) 223-0812

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 Cline's NPI number?

The NPI number for Douglas Cline is 1619934858. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Douglas Cline located?

Douglas Cline practices at 104 Main St Douglas C Cline, M.D., P.C., Queensbury, NY 12804. The listed phone number is (518) 223-0812.

What is Douglas Cline's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas Cline enrolled in Medicare?

No. Douglas Cline has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Cline was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.