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DR. BEN HAROLD DOUGLAS II M.D.
NPI 1952527871
Family Medicine - Adult Medicine in Tillamook, OR

Active since April 18, 2007PECOS Enrolled
68.46/100
CMS Quality Rating
1100 3RD ST, TILLAMOOK, OR 97141(503) 842-7533(503) 842-9636 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ben Harold Douglas Ii M.d. NPPES

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

DR. BEN HAROLD DOUGLAS II M.D. (NPI 1952527871) is an individual adult medicine provider in Tillamook, Oregon, licensed in Oregon (MD19528) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952527871
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. BEN HAROLD DOUGLAS IICredential: M.D.
Location Address1100 3RD STTillamook, OR 97141-3402
Mailing Address1011 Third St, Bay Ocean Medical, P.c.Tillamook, OR 97141-8292 · (503) 842-7533 · Fax (503) 842-9636
Phone(503) 842-7533
Fax(503) 842-9636
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 15, 2019
✔ NPI 1952527871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OR · MD19528
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1100 3RD ST, Tillamook, OR 97141
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Other Identifiers 1

Medicaid1952527871OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ben Harold Douglas Ii 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 Ben Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Medical Foundation Of Tillamook
Same address
Rural Health
1100 3RD ST
Tillamook, OR 97141
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
NPI 1841451853 (503) 815-2260

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 97141 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

68.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.92
Promoting Interoperability85
Improvement Activities40
Cost38.83

Referred Medical Equipment & Supplies CMS DME claims 16

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
4 suppliers32 claims88 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims15 services$1.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers23 claims23 services$40.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier15 claims15 services$99.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier15 claims30 services$42.55 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims63 services$17.38 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 10

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

JAKE GROSSMAN
Orthopaedic Surgery
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-5546
JOSUE MARTINEZ JIMENEZ
Student in an Organized Health Care Education/Training Program
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 815-2292
DR. BENIUS KARL MEIER JR. M.D.
Family Medicine
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-5546
JULIE STARK PA-C
Physician Assistant
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-5546
SARAH JACKSON LYM PA-C
Family Medicine
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 815-2292
KARLENE OLSON FNP-BC
Nurse Practitioner
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-5546
NIELS STEPHEN MITCHELL
Physician Assistant (Medical)
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-5546
MR. WILTON LARRY HAMILTON RN
Registered Nurse (Case Management)
1100 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 815-7561

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 Ben Douglas's NPI number?

The NPI number for Ben Douglas is 1952527871. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Ben Douglas located?

Ben Douglas practices at 1100 3rd St, Tillamook, OR 97141. The listed phone number is (503) 842-7533.

What is Ben Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Ben Douglas enrolled in Medicare?

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

Which organization bills Medicare for Ben Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ben Douglas reassigns Medicare benefits to Northwest Medical Foundation Of Tillamook (Tillamook, OR). 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 Ben Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ben Douglas accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ben Douglas 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.

When was this NPI record last updated?

The NPPES record for Ben Douglas was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.