Douglas Gordon Crane, M.D.
Individual provider Active NPI Internal Medicine Physician · Coquille, OR
NPI 1689650673 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1689650673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD22263 (OR)
- Practice address
- 209 N Central Blvd
Coquille, OR 97423-1274 - Phone
- (541) 329-0144
- Fax
- (541) 329-0143
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- South West Internal Medicine LLC
Southern Coos Health District
Practice addresses (Care Compare)
209 N Central Blvd
Coquille, OR 97423-1274
Phone (541) 329-0144
900 11TH St SE
Bandon, OR 97411-9114
Phone (541) 347-2426
Hospital & facility affiliations
- Oregon Coast Home Health
- South Coast Hospice
- Pacific Home Health & Hospice
- Southern Coos Hospital & Health Center
- Bay Area Hospital
- Coquille Valley Hospital
- Curry General Hospital
- Life Care Center of Coos Bay
- Southern Coos Hospital & Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.46 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 61.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000105 | OR | Practitioner - Internal Medicine | 4284775461 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Coos Health District | Current |
Accepting new patients | |
| South West Internal Medicine LLC | Internal Medicine | Current |
Accepting new patients |
| Southern Coos Health District | Current |
Accepting new patients |
Locations
913 11th St SE
Ste 1
Bandon, OR 97411
Phone (541) 329-0144
900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426
940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101
209 N Central Blvd
Coquille, OR 97423
Phone (541) 329-0144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD22263 | OR | Yes |
Addresses
Primary practice location
209 N Central Blvd
Coquille, OR 97423-1274
Mailing address
PO Box 194
Coquille, OR 97423-0194
Phone (541) 329-0144
Other practice location 1
913 11th St SE Ste 1
Bandon, OR 97411-9168
Phone (541) 329-0144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
| 0577260001 | Other | OR | DMERC NUMBER |
| R0000WFBTV | Other | OR | GROUP PIN NUMBER |
| 288488 | Medicaid | OR | |
| 110199508 | Other | OR | RR MEDICARE PTAN NUMBER |
Other providers in Coquille, OR
- Coquille Valley Health
- Coquille Valley Hospital District
- Coquille Valley Hospital District
- Coquille Valley Hospital District
- County of Coos Coos County School District R8
- Rebecca Marie Crawford
- William B Croson
- CVH Community Pharmacy
- Douglas Deverne Day
- Douglas Medical Equipment Supply
All providers in Coquille, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.