Mark Douglas, DO
NPI 1306974464 · Internal Medicine Physician · Cross Lanes, WV
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Douglas, DO is a Internal Medicine Physician provider in Cross Lanes, WV (NPI 1306974464).
Provider details
- NPI number
- 1306974464
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1390 (WV)
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
19 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
484 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) |
|---|---|---|
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 159 | $120 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 151 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 50 | $84 |
| Administration of Influenza Virus VaccineG0008 | 41 | $29 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 29 | $9 |
| Hemoglobin A1c Level83036 | 23 | $10 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 122 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 285 | 38 |
| Atorvastatin Calcium | 274 | 71 |
| Amlodipine Besylate | 220 | 63 |
| Losartan Potassium | 207 | 54 |
| Clonazepam | 179 | 32 |
| Pantoprazole Sodium | 173 | 51 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 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
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2012-12-31
Frequently asked questions
- What is Mark Douglas's NPI number?
- Mark Douglas's National Provider Identifier (NPI) is 1306974464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Douglas's specialty?
- Mark Douglas is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Douglas located?
- Mark Douglas's practice location on file with NPPES is 5098 West Washington St, Cross Lanes, WV 25313-1419.
- What is Mark Douglas's phone number?
- The practice phone number listed in the NPPES registry for Mark Douglas is (304) 776-5594.
- Does Mark Douglas accept Medicare?
- Mark Douglas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Douglas's NPI active?
- Yes — Mark Douglas's NPI (1306974464) is active in the NPPES registry as of the last update on 2012-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.