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DR. SAMUEL LESSLEY ARDIS DOUGLAS M.D.
NPI 1811308257
Surgery - Surgical Oncology in Mountain Brk, AL

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 OFFICE PARK DR STE 400, MOUNTAIN BRK, AL 35223(205) 803-4384(757) 953-0845 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2021, Jul 30, 2020, Aug 2, 2019 (3 updates tracked since 2019).

About Dr. Samuel Lessley Ardis Douglas M.d. NPPES

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

DR. SAMUEL LESSLEY ARDIS DOUGLAS M.D. (NPI 1811308257) is an individual surgical oncology provider in Mountain Brk, Alabama, licensed in Alabama (34727) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811308257
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. SAMUEL LESSLEY ARDIS DOUGLASCredential: M.D.
Location Address500 OFFICE PARK DR STE 400Mountain Brk, AL 35223-2457
Mailing Address500 Office Park Dr Ste 400Mountain Brk, AL 35223-2457 · (205) 803-4384 · Fax (757) 953-0845
Phone(205) 803-4384
Fax(757) 953-0845
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1811308257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in AL · 34727
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 34727 (AL)
500 OFFICE PARK DR STE 400, Mountain Brk, AL 35223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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. Samuel Lessley Ardis 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 ID3971835083
PECOS Enrollment IDI20240520002015
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Birmingham Hematology Oncology Assoc LLC
0.9 mi
Hematology & Oncology
2022 MEDICAL CENTER DR STE 628
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 47 clinicians in this Medicare group
NPI 1841216389 (205) 870-4783
Dhp Of Alabama PC
2.3 mi
Surgery
806 ST. VINCENT'S DRIVE, SUITE 500
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
NPI 1497187207 (205) 939-7000
University Hospitals Medical Group Inc
622 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35223 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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 Samuel Douglas's NPI number?

The NPI number for Samuel Douglas is 1811308257. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Samuel Douglas located?

Samuel Douglas practices at 500 Office Park Dr Ste 400, Mountain Brk, AL 35223. The listed phone number is (205) 803-4384.

What is Samuel Douglas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Samuel Douglas enrolled in Medicare?

Yes. Samuel 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.

Which organizations bill Medicare for Samuel Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Douglas reassigns Medicare benefits to 3 organizations: Birmingham Hematology Oncology Assoc LLC (Birmingham, AL), Dhp Of Alabama PC (Birmingham, AL) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Samuel Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Douglas accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Douglas was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.