Individual provider Active NPI

Douglas Daniel Opie, D.O.

  • Surgery Physician
  • Sierra Vista, AZ
National Provider Identifier
1154708451
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
008630 Issued in AZ
Practice address
75 Colonia de Salud Ste 100C
Sierra Vista, AZ 85635-2485
Phone
(520) 263-3620
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 008630 AZ Primary

Addresses

Primary practice location

75 Colonia de Salud Ste 100C
Sierra Vista, AZ 85635-2485

Mailing address

3925 E Bruce Ave
Gilbert, AZ 85234-4450
Phone (480) 296-9232

Other practice location 1

1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200713001622 AZ Practitioner - General Surgery 8921421702 Reassigns benefits to 2 organizations
I20230106000210 NM Practitioner - General Surgery 8921421702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2400 Unser Blvd SE
Suite 19400
Rio Rancho, NM 87124-4740
Phone (505) 253-6100

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008630AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Oct 25, 2022 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Oct 25, 2022 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

75 Colonia de Salud
Ste 100C
Sierra Vista, AZ 85635
Phone (520) 452-0144

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Ste 19400
Rio Rancho, NM 87124
Phone (505) 253-6100

Interoperability endpoints

  • Direct secure messaging: dopie220037@direct.phs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1154708451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 E BRUCE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344450",
            "telephone_number": "480-296-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD STE 100C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352485",
            "telephone_number": "520-263-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Crismon Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093767",
            "country_code": "US",
            "telephone_number": "480-358-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPIE",
        "first_name": "DOUGLAS",
        "middle_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.