Michael Lee Douglas

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NPI Number Detailed Information

Provider Information:

Name:	Michael Lee Douglas
Gender:	M
Provider License Number If Given:	39759

NPI Information:

NPI:	1902907454
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/26/2006
Last Update Date:	12/21/2022
Reputation Report:

Provider Business Mailing Address:

Address:	1100 BERGSLIEN ST Baldwin, WI 54002
Phone Number:	7156841111
Fax Number:

Provider Business Practice Location Address:

Address:	1110 BERGSLIEN STREET Baldwin, WI 54002
Phone Number:	7156841111
Fax Number:

Provider Taxonomy:

Primary:	207QG0300X
Secondary (if any):	207Q00000X
State:	WI

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About Michael Lee Douglas

Michael Lee Douglas ( MICHAEL LEE DOUGLAS ) is A Family Medicine Physician in Baldwin, WI. The NPI Number for Michael Lee Douglas is 1902907454.

The current location address for Michael Lee Douglas is 1110 BERGSLIEN STREET Baldwin, WI 54002 and the contact number is 7156841111 and fax number is . The mailing address for Michael Lee Douglas is 1100 BERGSLIEN ST Baldwin, WI 54002- 7156841111 (mailing address contact number - 7156841111).

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Provider Business Location on Map

FAQs:

What is the NPI Number for Michael Lee Douglas ?

Answer: The NPI Number for Michael Lee Douglas is 1902907454

Where is Michael Lee Douglas located?

Answer: Michael Lee Douglas is located at 1110 BERGSLIEN STREET Baldwin, WI 54002.

What is the specialty for Michael Lee Douglas ?

Answer: The Specialty of Michael Lee Douglas is A Family Medicine Physician.

Are there any online reviews for Michael Lee Douglas ?

Answer: Yes! Check It Now.

Are there any other health care providers in Baldwin, WI?

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 Michael Lee Douglas

Number of HCPCS	27
Number of Medicare Beneficiaries	128
Number of Services	216
Total Submitted Charge Amount	36899
Total Medicare Allowed Amount	15427.05
Total Medicare Payment Amount	12688.28
Total Medicare Standardized Payment Amount	13413.52
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65	29
Number of Beneficiaries Age 65 to 74	52
Number of Beneficiaries Age 75 to 84	35
Number of Beneficiaries Age Greater 84	12
Number of Female Beneficiaries	81
Number of Male Beneficiaries	47
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	27
Number of Beneficiaries With Medicare Only Entitlement	101
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0.12
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.15
Percent (%) of Beneficiaries Identified With Depression	0.35
Percent (%) of Beneficiaries Identified With Diabetes	0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.59
Percent (%) of Beneficiaries Identified With Hypertension	0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.31
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
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	1.1726

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	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	3516
Number of Standardized 30-Day Fills	6672.1333333
Aggregate Cost Paid for All Claims	254623.61
Number of Day's Supply for All Claims	190921
Number of Medicare Beneficiaries	330
Number of Claims, Including Refills, for Beneficiaries Age 65+	2869
Including Refills, for Beneficiaries Age 65+	5691.6
Beneficiaries Age 65+	174645.54
Number of Day's Supply for All Claims for Beneficaries Age 65+	163591
Number of Medicare Beneficiaries Age 65+	262
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	503
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2989
Aggregate Cost Paid for Generic Drugs	57112.88
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	24
Aggregate Cost Paid for Other Drugs	1380.16
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	592
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	34750.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2924
Aggregate Cost Paid for Claims Filled by	219873.11
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1323
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	129373.71
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	2193
by Low-Income Subsidy	125249.9
Total Claims of Opioid Drugs, Including	140
Aggregate Cost Paid for Opioid Drugs	9102.47
Opioid Claims	18
Opioid_Tot_Clms divided by the Tot_Clms	3.9817974972
Total Claims of Long-Acting Opioid Drugs	48
Aggregate Cost Paid for Long-Acting Opioid	7638.51
Number of Day's Supply of All Long-Acting	1412
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	34.285714286
Total Claims of Antibiotic Drugs, Including	142
Aggregate Cost Paid for Antibiotic Drugs	1542
Antibiotic Claims	112
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	52
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	1664.97
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	70.672727273
Number of Beneficiaries Age Less Than 65	68
Number of Beneficiaries Age 65 to 74	137
Number of Beneficiaries Age 75 to 84	94
Number of Female Beneficiaries	146
Number of Male Beneficiaries	184
Number of Non-Hispanic White	316
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	231
Average Hierarchical Condition Category	1.1942661616

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