DOUGLAS LAVENBURG MD
NPI 1649238635
Ophthalmology in Elkton, MD

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
103 CHESAPEAKE BLVD, STE C, ELKTON, MD 21921(410) 392-6133(410) 392-4958 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Lavenburg Md NPPES

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

DOUGLAS LAVENBURG MD (NPI 1649238635) is an individual ophthalmology provider in Elkton, Maryland, licensed in Maryland (D0036586) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1985).

NPPES Registry Identity

NPI1649238635
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDOUGLAS LAVENBURGCredential: MD
Location Address103 CHESAPEAKE BLVD, STE CElkton, MD 21921
Mailing Address103 Chesapeake Blvd, Ste CElkton, MD 21921 · (410) 392-6133 · Fax (410) 392-4958
Fax(410) 392-4958
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1985
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 13, 2012
NPI 1649238635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D0036586 Licensed in DE · C10002822
Definition

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.

103 CHESAPEAKE BLVD, Elkton, MD 21921

Other Identifiers 6

Medicare PIN006853C37DE
Medicare UPINE36063
Medicaid0000542402DE
Medicaid116251900MD
Medicare ID-Type Unspecified503MMD
Medicare ID-Type UnspecifiedG01069DE

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

Douglas Lavenburg 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 ID1052308640
PECOS Enrollment IDI20090629000306, I20100929000901
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 14

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
380 services159 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
197 services115 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
142 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
131 services131 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.
88 services81 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
80 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%167 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 5

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

Dentist (Pediatric Dentistry)
103 CHESAPEAKE BLVD
ELKTON, MD 21921
Social Worker (Clinical)
103 CHESAPEAKE BLVD, SUITE A
ELKTON, MD 21921
Social Worker (Clinical)
103 CHESAPEAKE BLVD, SUITE A
ELKTON, MD 21921
Anesthesiology
103 CHESAPEAKE BLVD, SUITE C
ELKTON, MD 21921
Optometrist
103 CHESAPEAKE BLVD, SUITE C
ELKTON, MD 21921

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 Lavenburg's NPI number?

The NPI number for Douglas Lavenburg is 1649238635. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Douglas Lavenburg located?

Douglas Lavenburg practices at 103 Chesapeake Blvd Ste C, Elkton, MD 21921. The listed phone number is (410) 392-6133.

What is Douglas Lavenburg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Douglas Lavenburg enrolled in Medicare?

Yes. Douglas Lavenburg 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 Lavenburg accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list Douglas Lavenburg 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.

When was this NPI record last updated?

The NPPES record for Douglas Lavenburg was last updated on April 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.