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DR. DOUGLAS RODERICK STODDARD M.D.
NPI 1699095125
Surgery in Austin, TX

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
3705 MEDICAL PKWY STE 250, AUSTIN, TX 78705(512) 302-1210(512) 334-1890 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, May 27, 2022, May 18, 2022 and 3 more (6 updates tracked since 2018).

About Dr. Douglas Roderick Stoddard M.d. NPPES

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

DR. DOUGLAS RODERICK STODDARD M.D. (NPI 1699095125) is an individual surgery provider in Austin, Texas, licensed in Texas (R5327) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699095125
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DOUGLAS RODERICK STODDARDCredential: M.D.
Location Address3705 MEDICAL PKWY STE 250Austin, TX 78705-1022
Mailing Address3705 Medical Pkwy Ste 250Austin, TX 78705-1022 · (512) 302-1210 · Fax (512) 334-1890
Phone(512) 302-1210
Fax(512) 334-1890
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateJanuary 26, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1699095125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · R5327
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License R5327 (TX)
3705 MEDICAL PKWY STE 250, Austin, TX 78705
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Secondary Practice Locations 3

Location 1100 Hillcrest Medical BlvdWaco, TX 76712-8897 · Phone (254) 202-5300
Location 29040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-0236
Location 31305 Wonder World Dr Ste 300San Marcos, TX 78666-7541 · Phone (512) 353-6400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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

Dr. Douglas Roderick Stoddard M.d. 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 ID1052623584
PECOS Enrollment IDI20190111000907
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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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

Closing the Referral Loop: Receipt of Specialist Report
36%25 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
46%28 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
61%215 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%110 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%109 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%35 patients4/55-star benchmark: 91%
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 11

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

JACK LEE WALZEL MD
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 302-1210
TIM L FAULKENBERRY M.D.
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 302-1210
ANKUR PRAKASH BHAKTA DO
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 302-1210
ERIK GREG LOUGH M.D.
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 334-1899
ZACHARY LYNN CRISLIP MD
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 302-1210
ROY LIROV M.D.
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (734) 936-5738
ROMEO A LAINEZ MD
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (512) 302-1210
ERIC M. ACHESON MD
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Travis County (521) 302-1210

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 Stoddard's NPI number?

The NPI number for Douglas Stoddard is 1699095125. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Douglas Stoddard located?

Douglas Stoddard practices at 3705 Medical Pkwy Ste 250, Austin, TX 78705. The listed phone number is (512) 302-1210.

What is Douglas Stoddard's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Douglas Stoddard enrolled in Medicare?

Yes. Douglas Stoddard 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 Stoddard accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Douglas Stoddard 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 Douglas Stoddard affiliated with any hospitals?

According to CMS data, Douglas Stoddard is affiliated with Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Douglas Stoddard was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.