DR. DOUGLAS A. DROSSMAN MD - NPI 1962571232 - Internal Medicine in Durham, NC

Q: What is Douglas Drossman's NPI number?

The NPI number for Douglas Drossman is 1962571232. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Douglas Drossman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: Is Douglas Drossman enrolled in Medicare?

No. Douglas Drossman has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Douglas Drossman was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Dr. Douglas A. Drossman Md NPPES

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

DR. DOUGLAS A. DROSSMAN MD (NPI 1962571232) is an individual gastroenterology provider in Durham, North Carolina, licensed in North Carolina (21027) and active in the NPI registry since November 2006. He has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962571232

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DOUGLAS A. DROSSMANCredential: MD

Location Address5826 FAYETTEVILLE RD STE 201Durham, NC 27713-8684

Mailing Address5826 Fayetteville Rd Ste 201Durham, NC 27713-8684 · (919) 265-8516 · Fax (919) 843-5515

Phone(919) 265-8516

Fax(919) 843-5515

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateDecember 10, 2019

✔ NPI 1962571232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NC · 21027

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5826 FAYETTEVILLE RD STE 201, Durham, NC 27713

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Other Identifiers 1

Medicaid8929175NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas A. Drossman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2017 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2017

Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 9

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

SABIA HEALTH, PLLC

Clinic/Center (Primary Care)