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MICHAEL LEE DOUGLAS M.D.
NPI 1902907454
Family Medicine in Baldwin, WI

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1110 BERGSLIEN STREET, BALDWIN, WI 54002(715) 684-1111 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Dec 21, 2022, Dec 30, 2021 and 1 more (4 updates tracked since 2018).

About Michael Lee Douglas M.d. NPPES

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

MICHAEL LEE DOUGLAS M.D. (NPI 1902907454) is an individual family medicine provider in Baldwin, Wisconsin, licensed in Wisconsin (56257-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Hospital Webster - Cah, and maintains a secondary practice location in Saint Peter.

NPPES Registry Identity

NPI1902907454
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL LEE DOUGLASCredential: M.D.
Location Address1110 BERGSLIEN STREETBaldwin, WI 54002
Mailing Address1100 Bergslien StBaldwin, WI 54002-2600 · (715) 684-1111
Phone(715) 684-1111
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1994
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1902907454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 56257-20✔ Licensed in SD · 17115
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 39759 (MN)
1110 BERGSLIEN STREET, Baldwin, WI 54002
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Secondary Practice Location 1

Location 1100 Freeman DrSaint Peter, MN 56082-3504 · Phone (507) 931-7125 · Fax (507) 931-7126

Other Identifiers 2

Other227GD3OMN · Blue Cross/blue Shield
Medicaid100062832WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Medica 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

Michael Lee 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 ID7810030129
PECOS Enrollment IDI20100209000687, I20260114001260
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 4

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 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.
102 services98 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Hospital Webster - Cah

Critical Access Hospitals · Webster, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431311
Location1401 W First St Post Office Box 489Webster, SD 57274 · Day County
Emergency services

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521347
Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54002 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
5 suppliers27 claims45 services$4.44 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$19.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$52.55 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers20 claims1,470 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers19 claims19 services$23.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Douglas's NPI number?

The NPI number for Michael Douglas is 1902907454. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Michael Douglas located?

Michael Douglas practices at 1110 Bergslien Street, Baldwin, WI 54002. The listed phone number is (715) 684-1111.

What is Michael Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Douglas enrolled in Medicare?

Yes. Michael 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 Michael Douglas accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners, Medica and Sanford Health Plan list Michael 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 Michael Douglas affiliated with any hospitals?

According to CMS data, Michael Douglas is affiliated with Sanford Hospital Webster - Cah and Western Wisconsin Health.

When was this NPI record last updated?

The NPPES record for Michael Douglas was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.