DR. JAMES TODD DOUGLAS M.D.
NPI 1790785954
Family Medicine in Bowling Green, KY
About Dr. James Todd Douglas M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES TODD DOUGLAS M.D. (NPI 1790785954) is an individual family medicine provider in Bowling Green, Kentucky, licensed in Kentucky (34188) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of University Of Kentucky College Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Names 1
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
Dr. James Todd Douglas 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.
Areas of Expertise CMS Part B claims 50
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Medical Center (bowling Green)
Acute Care Hospitals · Bowling Green, KYTristar Greenview Regional Hospital
Acute Care Hospitals · Bowling Green, KYThe Medical Center At Scottsville
Critical Access Hospitals · Scottsville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42104 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 19
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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
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 James Douglas's NPI number?
The NPI number for James Douglas is 1790785954. It was assigned to this individual provider in the NPPES registry on July 28, 2005. The provider is also known as J Todd Douglas MD Psc M.D.
Where is James Douglas located?
James Douglas practices at 1777 Ashley Cir, Bowling Green, KY 42104. The listed phone number is (270) 781-4090.
What is James Douglas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Douglas enrolled in Medicare?
Yes. James 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 James Douglas accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James 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 James Douglas affiliated with any hospitals?
According to CMS data, James Douglas is affiliated with The Medical Center (bowling Green), Tristar Greenview Regional Hospital and The Medical Center At Scottsville.
When was this NPI record last updated?
The NPPES record for James Douglas was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.