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Dr. Mark L Douglas

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NPI Number Detailed Information

Provider Information:

Name: Dr. Mark L Douglas
Gender: M
Provider License Number If Given: 1390

NPI Information:

NPI: 1306974464
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/1/2007

Last Update Date: 12/31/2012

Reputation Report:

Provider Business Mailing Address:

Address: 5098 WEST WASHINGTON ST STE 408
Cross Lanes, WV 25313
Phone Number: 3047765594
Fax Number: 3047763521

Provider Business Practice Location Address:

Address: 5098 WEST WASHINGTON ST STE 408
Cross Lanes, WV 25313
Phone Number: 3047765594
Fax Number: 3047763521

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: WV

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About Dr. Mark L Douglas

Dr. Mark L Douglas (DR. MARK L DOUGLAS ) is A Internal Medicine Physician in Cross Lanes, WV. The NPI Number for Dr. Mark L Douglas is 1306974464.
The current location address for Dr. Mark L Douglas is 5098 WEST WASHINGTON ST STE 408 Cross Lanes, WV 25313 and the contact number is 3047765594 and fax number is 3047763521. The mailing address for Dr. Mark L Douglas is 5098 WEST WASHINGTON ST STE 408 Cross Lanes, WV 25313- 3047765594 (mailing address contact number - 3047765594).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mark L Douglas ?


Answer: The NPI Number for Dr. Mark L Douglas is 1306974464

Where is Dr. Mark L Douglas located?


Answer: Dr. Mark L Douglas is located at 5098 WEST WASHINGTON ST STE 408 Cross Lanes, WV 25313.

What is the specialty for Dr. Mark L Douglas ?


Answer: The Specialty of Dr. Mark L Douglas is A Internal Medicine Physician.

Are there any online reviews for Dr. Mark L Douglas ?


Answer: Yes! Check It Now.

Are there any other health care providers in Cross Lanes, WV?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Mark L Douglas

Number of HCPCS 27
Number of Medicare Beneficiaries 240
Number of Services 750
Total Submitted Charge Amount 65129
Total Medicare Allowed Amount 58509.34
Total Medicare Payment Amount 47102.08
Total Medicare Standardized Payment Amount 49844.11
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 42
Number of Drug Services 49
Total Drug Submitted Charge Amount 1370
Total Drug Medicare Allowed Amount 1099.06
Total Drug Medicare Payment Amount 1094.85
Total Drug Medicare Standardized Payment Amount 1101.22
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 24
Number of Medicare Beneficiaries With Medical 240
Number of Medical Services 701
Total Medical Submitted Charge Amount 63759
Total Medical Medicare Allowed Amount 57410.28
Total Medical Medicare Payment Amount 46007.23
Total Medical Medicare Standardized Payment Amount 48742.89
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 138
Number of Beneficiaries Age 75 to 84 66
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 106
Number of Male Beneficiaries 134
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.05
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.48
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.36
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8984

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 7390
Number of Standardized 30-Day Fills 16923.266667
Aggregate Cost Paid for All Claims 873536.58
Number of Day's Supply for All Claims 496086
Number of Medicare Beneficiaries 427
Number of Claims, Including Refills, for Beneficiaries Age 65+ 7054
Including Refills, for Beneficiaries Age 65+ 16295.6
Beneficiaries Age 65+ 849834.48
Number of Day's Supply for All Claims for Beneficaries Age 65+ 477862
Number of Medicare Beneficiaries Age 65+ 411
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1031
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6237
Aggregate Cost Paid for Generic Drugs 125358.25
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 122
Aggregate Cost Paid for Other Drugs 8384.56
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4250
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 571185.01
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3140
Aggregate Cost Paid for Claims Filled by 302351.57
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 496
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 61202.79
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6894
by Low-Income Subsidy 812333.79
Total Claims of Opioid Drugs, Including 561
Aggregate Cost Paid for Opioid Drugs 26458.72
Opioid Claims 77
Opioid_Tot_Clms divided by the Tot_Clms 7.5913396482
Total Claims of Long-Acting Opioid Drugs 23
Aggregate Cost Paid for Long-Acting Opioid 11890.89
Number of Day's Supply of All Long-Acting 675
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 4.0998217469
Total Claims of Antibiotic Drugs, Including 183
Aggregate Cost Paid for Antibiotic Drugs 1732.23
Antibiotic Claims 117
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 75.152224824
Number of Beneficiaries Age Less Than 65 16
Number of Beneficiaries Age 65 to 74 206
Number of Beneficiaries Age 75 to 84 155
Number of Female Beneficiaries 210
Number of Male Beneficiaries 217
Number of Non-Hispanic White 415
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 415
Average Hierarchical Condition Category 0.9939210171

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