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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Imogene Bassett Hospital
18 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858

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 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.

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.

MALLORY DELANEY PA-C
Physician Assistant
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790
MARY IMOGENE BASSETT HOSPITAL
Clinic/Center (Rural Health)
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790
MRS. SUSMITA SHARMA BAJGAIN MD
Internal Medicine
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790
ELIZABETH BLASCO MD
Pediatrics
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1792
MS. PHOEBE WHITMAN FISHER REESE FNP
Nurse Practitioner (Family)
125 MAIN ST, BASSETT HEALTHCARE - ONEONTA PEDIATRICS
ONEONTA, NY 13820
Otsego County (607) 433-1790
DR. BRIDGET ABIEYUWA IGBINOSUN MD
Pediatrics
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790
MS. ANDREA BARBARA CLOSE PA-C
Physician Assistant
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790
DR. NANCY CODD-COOK F.N.P., P.H.D.
Nurse Practitioner (Family)
125 MAIN ST
ONEONTA, NY 13820
Otsego County (607) 433-1790

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 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.

Where is Douglas Cannon located?

Douglas Cannon practices at 125 Main St, Oneonta, NY 13820. The listed phone number is (607) 433-1792.

What is Douglas Cannon's specialty?

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

Is Douglas Cannon enrolled in Medicare?

Yes. Douglas Cannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Cannon reassigns Medicare benefits to Mary Imogene Bassett Hospital (Cooperstown, NY). The 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 Douglas Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Cannon was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.