MARK JASON DOUGLAS (M.D.) – Ophthalmology Physician, NPI 1679576516

MARK JASON DOUGLAS (M.D.) is a healthcare provider. based in Mobile, Alabama. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 00020396 (AL). The NPI Number for MARK JASON DOUGLAS (M.D.) is 1679576516

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK JASON DOUGLAS (M.D.)
NPI
1679576516
Phone
(251) 473-1900
Address
2880 DAUPHIN ST
Enumeration Date
24 May 2005
Last Update Date
19 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2519431512
Graduation Year
1995 (31 years ago)
PAC ID
3779590286
Group Practice PAC ID
6608869342
Professional Enrollment ID
I20060308000444
Address ID
AL365352232FO1330XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

250 OPHTHALMOLOGY in AL

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Provider Addresses for MARK JASON DOUGLAS (M.D.)

  • Dauphin Street, Dauphin Acres, Mobile, Mobile County, Alabama, 36607, United States of America

    MOBILE, AL 366062457

    Phone: (251) 473-1900

    Fax: (251) 470-8943

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $2,734.

Total Amount is formed as General ($2,734) + Research ($0) + Ownership ($0) = $2,734.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alimera Sciences, Inc. ($1,413).

Total Amount

$2,734

General + Research + Ownership

Payments

47

Total payment records

General Amount

$2,734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060308000444IOphthalmologyALTBD
I20120127000313IOphthalmologyMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina3,0781,090$0
J2777Injection, faricimab-svoa, 0.1 mg2,82015$0
J0178Injection, aflibercept, 1 mg2,298193$0
67028Injection of drug into eye1,517269$0
99214Established patient office or other outpatient visit, 30-39 minutes820678$0
View full utilization report →

Insurance plans in this area (ZIP 36606)

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Provider's Procedures

MARK JASON DOUGLAS (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYAL92083Measurement of field of vision during daylight conditions2019

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608869342View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
-AL
O T O L A R Y N G O L O G YAL
-AL
O P H T H A L M O L O G YAL
Qualified AudiologistAL
O P H T H A L M O L O G YAL
O T O L A R Y N G O L O G YAL
O P H T H A L M O L O G YAL
Qualified AudiologistAL

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Frequently asked questions

Does MARK JASON DOUGLAS (M.D.) have a public NPI I can cite?
Public records show MARK JASON DOUGLAS (M.D.) under NPI 1679576516.
Is MARK JASON DOUGLAS (M.D.)'s NPI status active today?
Active status means MARK JASON DOUGLAS (M.D.)'s NPI record is not deactivated in the public file.
What type of care does MARK JASON DOUGLAS (M.D.) provide?
MARK JASON DOUGLAS (M.D.)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is MARK JASON DOUGLAS (M.D.) tied to Mobile, Alabama?
If you are local to Mobile, Alabama, MARK JASON DOUGLAS (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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Unknown Individual

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2880, Dauphin Street, South Crichton, Ashland Place, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36606, United States
NPI: 1881688455