BRANDON DOUGLASS
NPI 1639626609
Physician Assistant in Hillsdale, MI

Q: What is Brandon Douglass's NPI number?

The NPI number for Brandon Douglass is 1639626609. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Brandon Douglass's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Douglass was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment

3271 W CARLETON RD, HILLSDALE, MI 49242(517) 437-3879 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brandon Douglass NPPES

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

BRANDON DOUGLASS (NPI 1639626609) is an individual physician assistant in Hillsdale, Michigan and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Hillsdale Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639626609

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRANDON DOUGLASS

Location Address3271 W CARLETON RDHillsdale, MI 49242-9458

Mailing Address3271 W Carleton RdHillsdale, MI 49242-9458

Phone(517) 437-3879

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 7, 2016

✔ NPI 1639626609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3271 W CARLETON RD, Hillsdale, MI 49242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brandon Douglass 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 ID7911294749

PECOS Enrollment IDI20160922001221

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.

Hospital Affiliations CMS Care Compare

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

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230037

Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49242 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%363 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

JOANNA BRANHAM PA-C

Family Medicine