Michael Dougan, MD, PHD
NPI 1225322258 · Gastroenterology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Dougan, MD, PHD is a Gastroenterology Physician provider in Boston, MA (NPI 1225322258).
Provider details
- NPI number
- 1225322258
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- L-247885 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
357 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $101 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 60 | $6 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 47 | $121 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 37 | $139 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 31 | $151 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 60 | 20 |
| Budesonidebrand: Budesonide Ec | 23 | — |
| Mesalamine | 19 | — |
| Budesonidebrand: Budesonide Dr | 19 | — |
| Lipase/Protease/Amylasebrand: Creon | 19 | — |
| Pantoprazole Sodium | 16 | — |
| Dupilumabbrand: Dupixent Pen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14,934 across 14 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
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2016-11-22
Frequently asked questions
- What is Michael Dougan's NPI number?
- Michael Dougan's National Provider Identifier (NPI) is 1225322258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Dougan's specialty?
- Michael Dougan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Dougan located?
- Michael Dougan's practice location on file with NPPES is Massachusetts General Hospital, Boston, MA 02114.
- What is Michael Dougan's phone number?
- The practice phone number listed in the NPPES registry for Michael Dougan is (617) 724-6007.
- Does Michael Dougan accept Medicare?
- Michael Dougan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Dougan's NPI active?
- Yes — Michael Dougan's NPI (1225322258) is active in the NPPES registry as of the last update on 2016-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.