JOHN MICHAEL DOUGLASS D.O.
NPI 1669734059
Hospitalist in Knoxville, TN
About John Michael Douglass D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MICHAEL DOUGLASS D.O. (NPI 1669734059) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Tennessee (2868) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Michael Douglass 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.
Medicare Billing Reassignment
Medicare enrollment records show John Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37920
- Reassigned Medicare billing, Tennessee enrollment
- 832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Health System, Inc
Acute Care Hospitals · Knoxville, TNParkwest Medical Center
Acute Care Hospitals · Knoxville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37920 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
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 John Douglass's NPI number?
The NPI number for John Douglass is 1669734059. It was assigned to this individual provider in the NPPES registry on June 12, 2012.
Where is John Douglass located?
John Douglass practices at 1924 Alcoa Hwy U56, Knoxville, TN 37920. The listed phone number is (865) 305-9081.
What is John Douglass's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is John Douglass enrolled in Medicare?
Yes. John Douglass 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.
Which organization bills Medicare for John Douglass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Douglass reassigns Medicare benefits to University Health System, Inc (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Douglass accept?
Health plans from Cigna Healthcare list John Douglass 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 John Douglass affiliated with any hospitals?
According to CMS data, John Douglass is affiliated with University Health System, Inc and Parkwest Medical Center.
When was this NPI record last updated?
The NPPES record for John Douglass was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# John Michael Douglass, D.O. · NPI 1669734059
Hospitalist physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since June 12, 2012.
## Identity
- **NPI:** 1669734059 (Entity type: Individual)
- **Enumerated:** June 12, 2012
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2868 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1924 ALCOA HWY, U56, Knoxville, TN 37920-1511
- **Phone:** (865) 305-9081 · **Fax:** (865) 305-8769
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Health System, Inc (NPI 1083332951, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2012
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669734059) · Data from the CMS NPPES public registry.