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DOUGLAS J MCKAY DPM
NPI 1962428789
Podiatrist in Caldwell, NJ

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
31 SMULL AVENUE, CALDWELL, NJ 07006(973) 228-5042(973) 228-2826 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas J Mckay Dpm NPPES

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

DOUGLAS J MCKAY DPM (NPI 1962428789) is an individual podiatrist in Caldwell, New Jersey, licensed in New Jersey (25MD00255300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of New York College Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1962428789
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDOUGLAS J MCKAYCredential: DPM
Location Address31 SMULL AVENUECaldwell, NJ 07006-5011
Mailing Address31 Smull AvenueCaldwell, NJ 07006-5011 · (973) 228-5042 · Fax (973) 228-2826
Phone(973) 228-5042
Fax(973) 228-2826
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1997
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 10, 2024
✔ NPI 1962428789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00255300
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License MD002553 (NJ), N005453 (NY), 25MD00255300 (NJ)
31 SMULL AVENUE, Caldwell, NJ 07006
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Other Identifiers 2

Other5947110002NJ · Dmerc Region A
Medicaid7988605NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Douglas J Mckay Dpm 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 ID9931196771
PECOS Enrollment IDI20040426001183
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 9

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
562 services241 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.
254 services151 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
126 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
86 services86 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
80 services21 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
79 services42 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07006 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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

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

DOUGLAS J MCKAY DPM LLC
Podiatrist
31 SMULL AVENUE
CALDWELL, NJ 07006
Essex County (973) 228-5042

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 Mckay's NPI number?

The NPI number for Douglas Mckay is 1962428789. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Douglas Mckay located?

Douglas Mckay practices at 31 Smull Avenue, Caldwell, NJ 07006. The listed phone number is (973) 228-5042.

What is Douglas Mckay's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Douglas Mckay enrolled in Medicare?

Yes. Douglas Mckay 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 Mckay accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Douglas Mckay 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 Mckay affiliated with any hospitals?

According to CMS data, Douglas Mckay is affiliated with St Mary's General Hospital and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Mckay was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.