MARC A DOUCETTE MD
NPI 1932172038
Emergency Medicine in Lakewood, CO

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
11600 W 2ND PL, ST. ANTHONY HOSPITAL EMERGENCY DEPARTMENT, LAKEWOOD, CO 80228(303) 202-1280(303) 202-1281 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marc A Doucette Md NPPES

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

MARC A DOUCETTE MD (NPI 1932172038) is an individual emergency medicine provider in Lakewood, Colorado, licensed in Colorado (37409) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine-dodge City, and is a graduate of University Of Colorado School Of Medicine, Denver (1997).

NPPES Registry Identity

NPI1932172038
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARC A DOUCETTECredential: MD
Location Address11600 W 2ND PL, ST. ANTHONY HOSPITAL EMERGENCY DEPARTMENTLakewood, CO 80228-1527
Mailing AddressPo Box 5788Denver, CO 80217-5788 · (303) 202-1280 · Fax (303) 202-1281
Fax(303) 202-1281
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1997
Enumeration DateFebruary 9, 2006
Last NPPES UpdateDecember 23, 2015
NPI 1932172038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CO · 37409
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11600 W 2ND PL, Lakewood, CO 80228

Other Identifiers 9

OtherP00368641CO · Rr Medicare
Medicaid98225723NM
Medicare UPINH65624CO
MedicaidZ3345UT
Medicaid89476352CO
Medicaid122682700WY
Medicare PINC803435CO
Other20326023101Pacificare Secure Horizons
Medicaid200384150AKS

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

Marc A Doucette Md 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 ID1759311418
PECOS Enrollment IDI20050812000949, I20190415002169
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services93 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services34 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$19.66 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
3 suppliers12 claims12 services$106.02 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.

Hospitalist
11600 W 2ND PL
LAKEWOOD, CO 80228
Emergency Medicine
11600 W 2ND PL
LAKEWOOD, CO 80228
Hospitalist
11600 W 2ND PL
LAKEWOOD, CO 80228
Nurse Anesthetist, Certified Registered
11600 W 2ND PL
LAKEWOOD, CO 80228
Anesthesiology
11600 W 2ND PL
LAKEWOOD, CO 80228
Anesthesiology
11600 W 2ND PL
LAKEWOOD, CO 80228
Radiology (Diagnostic Radiology)
11600 W 2ND PL
LAKEWOOD, CO 80228
Physician Assistant (Surgical)
11600 W 2ND PL
LAKEWOOD, CO 80228

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 Marc Doucette's NPI number?

The NPI number for Marc Doucette is 1932172038. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Marc Doucette located?

Marc Doucette practices at 11600 W 2nd Pl St. Anthony Hospital Emergency Department, Lakewood, CO 80228. The listed phone number is (303) 202-1280.

What is Marc Doucette's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Doucette enrolled in Medicare?

Yes. Marc Doucette 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 Marc Doucette accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Marc Doucette 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 Marc Doucette affiliated with any hospitals?

According to CMS data, Marc Doucette is affiliated with Centura St. Catherine-Dodge City.

When was this NPI record last updated?

The NPPES record for Marc Doucette was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.