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DR. DANIEL RICHARD DOUCE M.D.
NPI 1851541353
Internal Medicine - Hematology & Oncology in Saint Joseph, MI

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3900 HOLLYWOOD RD, SAINT JOSEPH, MI 49085(269) 428-4411(269) 428-4422 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2019, Jul 2, 2019 (2 updates tracked since 2019).

About Dr. Daniel Richard Douce M.d. NPPES

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

DR. DANIEL RICHARD DOUCE M.D. (NPI 1851541353) is an individual hematology & oncology provider in Saint Joseph, Michigan, licensed in Michigan (4301119312) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1851541353
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DANIEL RICHARD DOUCECredential: M.D.
Location Address3900 HOLLYWOOD RDSaint Joseph, MI 49085
Mailing Address3900 Hollywood RdSaint Joseph, MI 49085-9149
Phone(269) 428-4411
Fax(269) 428-4422
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2008
Enumeration DateSeptember 22, 2008
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
✔ NPI 1851541353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 4301119312
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3900 HOLLYWOOD RD, Saint Joseph, MI 49085
Open in Google Maps ↗

Secondary Practice Location 1

Location 13900 Hollywood RdSaint Joseph, MI 49085 · Phone (269) 428-4411 · Fax (269) 428-4422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Daniel Richard Douce 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 ID5496981219
PECOS Enrollment IDI20190730000264
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 9

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.
512 services209 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.
419 services153 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.
42 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 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.
26 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$50.42 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 18

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

LAKELAND MEDICAL PRACTICES
Clinic/Center (Urgent Care)
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 429-9677
MS. ALAINA JANE ELDER-CORREA
Health and Wellness Coach
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7171
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Clinic/Center (Community Health)
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7171
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Internal Medicine
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 932-9337
DR. JAMIE KRISTIN BIRRIS PSY.D.
Psychologist (Clinical)
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
General Acute Care Hospital
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-2819
SAMANTHA WITT CROSBY
Genetic Counselor, MS
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 932-9337
HALLEY HARMON
Dietitian, Registered
3900 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-2806

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 Daniel Douce's NPI number?

The NPI number for Daniel Douce is 1851541353. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Daniel Douce located?

Daniel Douce practices at 3900 Hollywood Rd, Saint Joseph, MI 49085. The listed phone number is (269) 428-4411.

What is Daniel Douce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Daniel Douce enrolled in Medicare?

Yes. Daniel Douce 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 Daniel Douce 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 2 other insurers list Daniel Douce 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 Daniel Douce affiliated with any hospitals?

According to CMS data, Daniel Douce is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Douce was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.