Douglas R Brown, D.O.
Individual provider Active NPI Family Medicine Physician · Orrville, OH
NPI 1902883507 · NPPES record last updated Dec 9, 2013
Key facts
- NPI
- 1902883507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34002356 (OH)
- Practice address
- 365 S Crown Hill Rd
Orrville, OH 44667-9527 - Phone
- (330) 682-3075
- Fax
- (330) 682-7454
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bloomington Medical Services LLC
Practice addresses (Care Compare)
1761 Beall Ave
Wooster, OH 44691-2342
2326 A Eagle Pass
Wooster, OH 44691-5338
Phone (330) 202-3477
Hospital & facility affiliations
- Wooster Community Hospital
- Aultman Orrville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.09 of 100
- Quality
- 59.24
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20100112000440 | OH | Practitioner - Family Practice | 8628119724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002356 | OH | MD | Family Medicine Physician |
| 2356 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Medical Services LLC | Current |
Accepting new patients | |
| Affinity Family Practice Center | Family Medicine | Current | Accepting new patients |
| Lawrence M. Stallings, MD, LTD | Past | Accepting new patients |
Locations
365 S Crown Hill Rd
Orrville, OH 44667
Phone (330) 682-3075
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
2326A Eagle Pass
Wooster, OH 44691
Phone (330) 202-3477
Interoperability endpoints
- douglas.brown@bloomingtonmedical.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002356 | OH | Yes |
Addresses
Primary practice location
365 S Crown Hill Rd
Orrville, OH 44667-9527
Mailing address
711 Homestead Pointe Dr
Orrville, OH 44667-9283
Phone (330) 683-3966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127743 | Other | OH | ANTHEM |
| Q012547A | Other | OH | HOMETOWN HEALTH PLAN |
| Q012547A | Other | OH | HOMETOWN SECURE CARE |
| 020488800 | Other | OH | FEDERAL BLACK LUNG |
| 000000180216 | Other | OH | UNISON HEALTH PLAN |
| 560 | Other | OH | SUMMACARE |
| 0284697 | Medicaid | OH | |
| 341131413B | Other | OH | AULTCARE |
| 734829 | Other | OH | BUCKEYE HEALTH PLAN |
Other providers in Orrville, OH
- Angela Dawn Bratcher
- Alexander Michael Braun
- Brenn-Field Nursing Center Inc.
- Karen Marie Brenneman
- Katie Mae Brenner
- Patricia Ann Brown
- Donna Jean Bunner
- Walter L Burgan III
- Candice Calame
- Sean Michael Camp
All providers in Orrville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2013. 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.