Mary Douglas, PAC
NPI 1114928637 · Medical Physician Assistant · Traverse City, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Douglas, PAC is a Medical Physician Assistant provider in Traverse City, MI (NPI 1114928637).
Provider details
- NPI number
- 1114928637
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- MD003850 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
230 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 101 | $71 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 94 | $89 |
| Manual Urinalysis Test With Examination Using Microscope, Non-Automated81000 | 21 | $4 |
| X-Ray of Chest, 2 Views71046 | 14 | $21 |
Typical Medicare-allowed amounts for these services range $4–$89 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 58 | 58 |
| Doxycycline Hyclate | 43 | 42 |
| Cephalexin | 37 | 37 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 32 | 32 |
| Azithromycin | 32 | 32 |
| Atorvastatin Calcium | 26 | 13 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 550 Munson AveTraverse City, MI 49686-3580Phone: (231) 935-8686
- 1105 Sixth StTraverse City, MI 49684-2345Phone: (231) 935-5000
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Mary Douglas's NPI number?
- Mary Douglas's National Provider Identifier (NPI) is 1114928637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Douglas's specialty?
- Mary Douglas is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Douglas located?
- Mary Douglas's practice location on file with NPPES is 3074 N US 31 S, Traverse City, MI 49684-4533.
- What is Mary Douglas's phone number?
- The practice phone number listed in the NPPES registry for Mary Douglas is (231) 929-1234.
- Does Mary Douglas accept Medicare?
- Mary Douglas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Douglas's NPI active?
- Yes — Mary Douglas's NPI (1114928637) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.