TAMARA SMITH DOUGLASS M.D.
NPI 1952396103
Family Medicine in Fortuna, CA

Q: What is Tamara Douglass's NPI number?

The NPI number for Tamara Douglass is 1952396103. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Tamara Douglass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tamara Douglass 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 14 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.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

3429 RENNER DR STE B, FORTUNA, CA 95540(707) 726-2255(707) 949-9715 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Feb 14, 2025, Feb 5, 2023 and 1 more (4 updates tracked since 2017).

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About Tamara Smith Douglass M.d. NPPES

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

TAMARA SMITH DOUGLASS M.D. (NPI 1952396103) is an individual family medicine provider in Fortuna, California, licensed in California (A92702) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcata, and is a graduate of University Of California, Davis School Of Medicine (2002).

NPPES Registry Identity

NPI1952396103

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTAMARA SMITH DOUGLASSCredential: M.D.

Location Address3429 RENNER DR STE BFortuna, CA 95540-3104

Mailing Address3429 Renner Dr Ste BFortuna, CA 95540-3104 · (707) 726-2255 · Fax (707) 949-9715

Phone(707) 726-2255

Fax(707) 949-9715

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2002

Enumeration DateSeptember 14, 2005

Last NPPES UpdateJune 10, 20254 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1952396103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A92702

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.

3429 RENNER DR STE B, Fortuna, CA 95540

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Secondary Practice Location 1

Location 13798 Janes Rd Ste 15Arcata, CA 95521-4746 · Phone (707) 726-2255 · Fax (707) 949-9715

Other Identifiers 1

Other1952396103CA · National Provider Identification

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

Tamara Smith Douglass 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 ID6406850726

PECOS Enrollment IDI20060829000259

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 3

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

158 services104 patients

Urinalysis using microscope 81015

Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.

45 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95540 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 19

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

7 suppliers52 claims120 services$4.93 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers12 claims12 services$2.70 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims33 services$0.90 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$3.59 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$2.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers20 claims20 services$66.81 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers17 claims17 services$22.06 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers15 claims15 services$21.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers23 claims132 services$2.92 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers11 claims11 services$12.94 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier16 claims16 services$46.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers35 claims35 services$19.43 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$53.45 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

5 suppliers107 claims107 services$107.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers27 claims27 services$33.43 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$5.41 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

2 suppliers16 claims1,800 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

2 suppliers45 claims45 services$187.93 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers30 claims30 services$24.31 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

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

IKIGAI PHYSICIAN GROUP INC

Family Medicine

3429 RENNER DR STE B
FORTUNA, CA 95540

Humboldt County (707) 726-2255

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 Tamara Douglass's NPI number?

The NPI number for Tamara Douglass is 1952396103. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Tamara Douglass located?

Tamara Douglass practices at 3429 Renner Dr Ste B, Fortuna, CA 95540. The listed phone number is (707) 726-2255.

What is Tamara Douglass's specialty?

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

Is Tamara Douglass enrolled in Medicare?

Yes. Tamara Douglass 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.

When was this NPI record last updated?

The NPPES record for Tamara Douglass 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 14 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.