DR. DOUGLAS H CANNON M.D.
NPI 1912965039
Pediatrics in Oneonta, NY

Q: What is Douglas Cannon's NPI number?

The NPI number for Douglas Cannon is 1912965039. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Douglas Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Cannon was last updated on July 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2006PECOS Enrolled

125 MAIN ST, ONEONTA, NY 13820(607) 433-1792(607) 433-6608 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Douglas H Cannon M.d. NPPES

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

DR. DOUGLAS H CANNON M.D. (NPI 1912965039) is an individual pediatrics provider in Oneonta, New York, licensed in New York (176954) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912965039

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DOUGLAS H CANNONCredential: M.D.

Location Address125 MAIN STOneonta, NY 13820-2507

Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 433-1790 · Fax (607) 499-6608

Phone(607) 433-1792

Fax(607) 433-6608

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateJuly 18, 2013

✔ NPI 1912965039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 176954

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

125 MAIN ST, Oneonta, NY 13820

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Other Identifiers 3

Medicare ID-Type Unspecified70716NNY · Upstate

Medicaid01162578NY

Medicare UPINE16908NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas H Cannon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.