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DR. DOUGLAS L MICHAELSEN MD
NPI 1932191269
Internal Medicine - Hematology & Oncology in North Charleston, SC

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
68.23/100
CMS Quality Rating
2910 TRICOM ST, CHARLESTON CANCER CENTER, NORTH CHARLESTON, SC 29406(843) 572-9211(843) 572-0457 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2022, Jul 17, 2019 (2 updates tracked since 2019).

About Dr. Douglas L Michaelsen Md NPPES

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

DR. DOUGLAS L MICHAELSEN MD (NPI 1932191269) is an individual hematology & oncology provider in North Charleston, South Carolina, licensed in South Carolina (19684) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Wake Forest University School Of Medicine (1996).

NPPES Registry Identity

NPI1932191269
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DOUGLAS L MICHAELSENCredential: MD
Location Address2910 TRICOM ST, CHARLESTON CANCER CENTERNorth Charleston, SC 29406-9350
Mailing AddressPo Box 751874Charlotte, NC 28275-1874 · (843) 402-5200 · Fax (843) 402-5296
Phone(843) 572-9211
Fax(843) 572-0457
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1996
Enumeration DateAugust 23, 2005
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1932191269 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 SC · 19684
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.
2910 TRICOM ST, North Charleston, SC 29406
Open in Google Maps ↗

Other Identifiers 1

Medicaid196843SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next.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. Douglas L Michaelsen 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 ID143364943
PECOS Enrollment IDI20100217000466
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
295 services107 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.
282 services208 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.
232 services98 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.
84 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
76 services38 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420030
Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County
Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

68.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.06
Promoting Interoperability100
Improvement Activities40
Cost21.27

Reported Quality Measures

Breast Cancer Screening
20%301 patients1/55-star benchmark: 93%
Cervical Cancer Screening
6%216 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
1%116 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
25%636 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
53%138 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
3%80 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
65%80 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,100 patients4/55-star benchmark: 100%
e-Prescribing
99%322 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
17%766 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%1,223 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%1,113 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%3,435 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 768 patients
Patients screened: 97% · 768 patients
45%98 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%569 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%272 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 792 patients
Patients totalRate: 8% · 792 patients
7%792 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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
1 supplier23 claims23 services$14.88 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
2 suppliers24 claims24 services$66.91 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims1,164 services$0.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$18.99 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 11

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

DR. CHARLES DUDLEY GRAHAM MD
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
CHARLESTON CANCER CENTER PA
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. ASHLEY ABIDE JETER M.D.
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
TINA WITHROW FNP
Nurse Practitioner (Family)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
N CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. CHARLES STEPHEN HOLLADAY MD
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST, CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
MR. CHRISTOPHER C STEPHANOFF PA
Physician Assistant (Medical)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
LYDIA ROMEO PA-C
Physician Assistant
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211

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 Michaelsen's NPI number?

The NPI number for Douglas Michaelsen is 1932191269. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Douglas Michaelsen located?

Douglas Michaelsen practices at 2910 Tricom St Charleston Cancer Center, North Charleston, SC 29406. The listed phone number is (843) 572-9211.

What is Douglas Michaelsen's specialty?

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

Is Douglas Michaelsen enrolled in Medicare?

Yes. Douglas Michaelsen 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 Douglas Michaelsen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Douglas Michaelsen 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 Douglas Michaelsen affiliated with any hospitals?

According to CMS data, Douglas Michaelsen is affiliated with Colleton Medical Center, Bon Secours-St Francis Xavier Hospital, Trident Medical Center, Roper Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Douglas Michaelsen was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.