DR. JAMES TODD DOUGLAS M.D.
NPI 1790785954
Family Medicine in Bowling Green, KY

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1777 ASHLEY CIR, BOWLING GREEN, KY 42104(270) 781-4090 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2024, Jan 27, 2022 (2 updates tracked since 2022).

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

NPI1790785954
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES TODD DOUGLASCredential: M.D.
Location Address1777 ASHLEY CIRBowling Green, KY 42104-3339
Mailing Address201 Park StBowling Green, KY 42101-1742 · (207) 781-5111
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1995
Enumeration DateJuly 28, 2005
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1790785954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 34188
Definition

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.

1777 ASHLEY CIR, Bowling Green, KY 42104

Other Names 1

Professional Name (2)J Todd Douglas Md Psc M.d

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.

PECOS PAC ID8022179167
PECOS Enrollment IDI20081208000111
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 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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,100 services839 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
962 services761 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
924 services784 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
772 services654 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
633 services498 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
357 services252 patients

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, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
80%350 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
79%909 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
73%790 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%249 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
94%692 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%1,261 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,367 patients
Patients screened: 100% · 1,367 patients
99%178 patients4/55-star benchmark: 100%
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers84 claims216 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers28 claims32 services$1.02 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier11 claims990 services$2.17 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$85.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers13 claims28 services$35.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Specialist/Technologist (Athletic Trainer)
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Occupational Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Contractor
1777 ASHLEY CIR, PHYSICAL THERAPY DEPARTMENT
BOWLING GREEN, KY 42104
Family Medicine
1777 ASHLEY CIR
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.