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PHILLIP EDWIN DOUGLAS D.O.
NPI 1659571438
Emergency Medicine in Vestavia, AL

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
2409 ACTON RD STE 153, VESTAVIA, AL 35243(205) 379-0174(888) 219-8102 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip Edwin Douglas D.o. NPPES

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

PHILLIP EDWIN DOUGLAS D.O. (NPI 1659571438) is an individual emergency medicine provider in Vestavia, Alabama, licensed in Alabama (1066) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1659571438
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILLIP EDWIN DOUGLASCredential: D.O.
Location Address2409 ACTON RD STE 153Vestavia, AL 35243-2939
Mailing Address1001 W Memorial Rd Ste 112Oklahoma City, OK 73114-2000 · (405) 509-6599 · Fax (405) 509-6599
Phone(205) 379-0174
Fax(888) 219-8102
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2011
Enumeration DateJuly 20, 2007
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1659571438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · 1066
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 002478 (GA)
2409 ACTON RD STE 153, Vestavia, AL 35243
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Accepted Insurance

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

Phillip Edwin Douglas D.o. 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 ID4789725284
PECOS Enrollment IDI20110713000177
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
480 services468 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
300 services289 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
81 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services60 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ALABAMA INFUSION SERVICES LLC
Clinic/Center (Infusion Therapy)
2409 ACTON RD STE 153
VESTAVIA, AL 35243
Jefferson County (205) 386-1100
KELSIE MAKENNA LANG RICKEY
Nurse Practitioner (Family)
2409 ACTON RD STE 153
VESTAVIA, AL 35243
Jefferson County (205) 379-0174

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 Phillip Douglas's NPI number?

The NPI number for Phillip Douglas is 1659571438. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Phillip Douglas located?

Phillip Douglas practices at 2409 Acton Rd Ste 153, Vestavia, AL 35243. The listed phone number is (205) 379-0174.

What is Phillip Douglas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Phillip Douglas enrolled in Medicare?

Yes. Phillip Douglas 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 Phillip Douglas accept?

Health plans from Blue Cross and Blue Shield of Alabama list Phillip Douglas 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 Phillip Douglas affiliated with any hospitals?

According to CMS data, Phillip Douglas is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Douglas was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.