DR. DOUGLAS GORDON PAULK D.O.
NPI 1750372405
Surgery in Macomb Township, MI
About Dr. Douglas Gordon Paulk D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS GORDON PAULK D.O. (NPI 1750372405) is an individual surgery provider in Macomb Township, Michigan, licensed in Michigan (5101007995) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mclaren Thumb Region, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Douglas Gordon Paulk 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 Reassignments
3Medicare enrollment records show Douglas Paulk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 188 clinicians in this Medicare group
Caro, MI 48723
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Bad Axe, MI 48413
- Reassigned Medicare billing, Michigan enrollment
- 62 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Thumb Region
Critical Access Hospitals · Bad Axe, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACOMB TOWNSHIP, MI 48044
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 Paulk's NPI number?
The NPI number for Douglas Paulk is 1750372405. It was assigned to this individual provider in the NPPES registry on November 2, 2005.
Where is Douglas Paulk located?
Douglas Paulk practices at 17375 Hall Rd, Macomb Township, MI 48044. The listed phone number is (586) 228-0550.
What is Douglas Paulk's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Douglas Paulk enrolled in Medicare?
Yes. Douglas Paulk 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 organizations bill Medicare for Douglas Paulk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Paulk reassigns Medicare benefits to 3 organizations: Mclaren Macomb (Mount Clemens, MI), Mclaren Caro Region (Caro, MI) and Mclaren Thumb Region (Bad Axe, MI). Each 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 Douglas Paulk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Paulk accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Douglas Paulk 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 Paulk affiliated with any hospitals?
According to CMS data, Douglas Paulk is affiliated with Mclaren Thumb Region.
When was this NPI record last updated?
The NPPES record for Douglas Paulk was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Douglas Gordon Paulk, D.O. · NPI 1750372405
Surgery physician in Macomb Township, Michigan. Individual provider, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1750372405 (Entity type: Individual)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 5101007995 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 17375 HALL RD, Macomb Township, MI 48044-4060
- **Phone:** (586) 228-0550 · **Fax:** (586) 228-8125
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mclaren Macomb (NPI 1528002532, Mount Clemens, MI); Mclaren Caro Region (NPI 1073568978, Caro, MI); Mclaren Thumb Region (NPI 1245257880, Bad Axe, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 1980
## Record status
- **NPPES last updated:** January 15, 2015
- **Other identifiers:** Medicaid 1886068 (MI); Medicare PIN 0N87470 (MI); Medicare UPIN E33210 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750372405) · Data from the CMS NPPES public registry.