Michael Douglas, M.D.
NPI 1902907454 · Family Medicine Physician · Baldwin, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Douglas, M.D. is a Family Medicine Physician provider in Baldwin, WI (NPI 1902907454).
Provider details
- NPI number
- 1902907454
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 17115 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
159 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 | 102 | $89 |
| Automated Urinalysis Test81003 | 22 | $2 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 19 | $9 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $102 |
Typical Medicare-allowed amounts for these services range $2–$102 (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 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 229 | 47 |
| Metoprolol Succinate | 149 | 40 |
| Levothyroxine Sodium | 114 | 27 |
| Losartan Potassium | 113 | 29 |
| Lisinopril | 111 | 31 |
| Amlodipine Besylate | 100 | 26 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$672 across 1 record (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 (1)
- 100 Freeman DrSaint Peter, MN 56082-3504Phone: (507) 931-7125Fax: (507) 931-7126
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Michael Douglas's NPI number?
- Michael Douglas's National Provider Identifier (NPI) is 1902907454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Douglas's specialty?
- Michael Douglas is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Douglas located?
- Michael Douglas's practice location on file with NPPES is 1110 Bergslien Street, Baldwin, WI 54002.
- What is Michael Douglas's phone number?
- The practice phone number listed in the NPPES registry for Michael Douglas is (715) 684-1111.
- Does Michael Douglas accept Medicare?
- Michael Douglas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Douglas's NPI active?
- Yes — Michael Douglas's NPI (1902907454) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.