DR. DOUGLAS WESLEY PAHL M.D.
NPI 1841257136
Orthopaedic Surgery in Columbus, GA

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
64.11/100
CMS Quality Rating
6262 VETERANS PKWY, COLUMBUS, GA 31909(706) 494-3192(706) 494-3247 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Douglas Wesley Pahl M.d. NPPES

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

DR. DOUGLAS WESLEY PAHL M.D. (NPI 1841257136) is an individual orthopaedic surgery provider in Columbus, Georgia, licensed in Georgia (049468) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1841257136
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DOUGLAS WESLEY PAHLCredential: M.D.
Location Address6262 VETERANS PKWYColumbus, GA 31909-3540
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Fax(706) 494-3247
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1995
Enumeration DateApril 28, 2006
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
NPI 1841257136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in GA · 049468 Licensed in AL · MD.28824
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6262 VETERANS PKWY, Columbus, GA 31909

Secondary Practice Locations 4

Location 1161 E University DrAuburn, AL 36832-5889 · Phone (334) 826-2090 · Fax (334) 821-3191
Location 2100 N Macon StMacon, GA 31210-6563 · Phone (478) 200-6970 · Fax (478) 216-5976
Location 3512 N Shady LnDothan, AL 36303-2991 · Phone (334) 699-5747 · Fax (334) 699-5750
Location 44340 Kings WayValdosta, GA 31602-6921 · Phone (229) 333-9736 · Fax (229) 333-0225

Other Identifiers 8

Medicaid361784635AGA
Medicaid361784635FGA
Medicaid361784635GGA
Medicaid361784635BGA
Medicaid361784635HGA
Medicaid361784635CGA
Medicaid361784635DGA
Medicaid361784635EGA

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. Douglas Wesley Pahl 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 ID6305938523
PECOS Enrollment IDI20080527000392, I20080531000088
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 15

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.

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.
372 services290 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
346 services237 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
223 services222 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
207 services142 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
147 services147 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
91 services90 patients

Hospital Affiliations CMS Care Compare 2

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

64.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality37.48
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
12%899 patients1/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%24 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
58%3,172 patients2/55-star benchmark: 100%
e-Prescribing
97%642 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%1,883 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%2,856 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 17% · 1,403 patients
Patients screened: 19% · 1,403 patients
11%35 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%745 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%120 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 880 patients
Patients totalRate: 5% · 880 patients
4%880 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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
4 suppliers20 claims20 services$819.99 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 20

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

Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Specialist/Technologist (Athletic Trainer)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist (Electrophysiology, Clinical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery (Sports Medicine)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909

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 Pahl's NPI number?

The NPI number for Douglas Pahl is 1841257136. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Douglas Pahl located?

Douglas Pahl practices at 6262 Veterans Pkwy, Columbus, GA 31909. The listed phone number is (706) 494-3192.

What is Douglas Pahl's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Pahl enrolled in Medicare?

Yes. Douglas Pahl 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 Pahl accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Douglas Pahl 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 Pahl affiliated with any hospitals?

According to CMS data, Douglas Pahl is affiliated with Sgmc Health and Piedmont Columbus Regional Northside.

When was this NPI record last updated?

The NPPES record for Douglas Pahl was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.