LUCY M DOUGLASS (MD) – Specialist, NPI 1912940594

LUCY M DOUGLASS (MD) is a healthcare provider. based in Rancho cordova, California. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A90595 (CA). The NPI Number for LUCY M DOUGLASS (MD) is 1912940594

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LUCY M DOUGLASS (MD)
NPI
1912940594
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
13 June 2006
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5306682600
Graduation Year
2003 (23 years ago)
PAC ID
2961448931
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20050629000941
Address ID
CA956955169WO632XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for LUCY M DOUGLASS (MD)

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 2081, Bronze Star Drive, Woodland Gateway, Woodland, Yolo County, California, 95776, United States

    WOODLAND, CA 95776

    Phone: (530) 668-2600

    Fax: (530) 661-1081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050629000941IFamily PracticeCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9793$0
99214Established patient office or other outpatient visit, 30-39 minutes4443$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3635$0
81003Automated urinalysis test3535$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1515$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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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: 7810800661View full group profile

Reviews

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Frequently asked questions

How do I look up LUCY M DOUGLASS (MD) by NPI?
Use NPI 1912940594 when you need to reference LUCY M DOUGLASS (MD) in forms, claims, or directories.
Is LUCY M DOUGLASS (MD)'s NPI currently valid?
The extract we use shows LUCY M DOUGLASS (MD) as active.
What kind of provider is LUCY M DOUGLASS (MD)?
The page reflects Other Service Providers for LUCY M DOUGLASS (MD). Clinical services aligned with this taxonomy classification.
Where does public data place LUCY M DOUGLASS (MD)?
The snapshot lists Rancho Cordova, California for LUCY M DOUGLASS (MD); download NPPES for the complete set.
What if Rancho Cordova, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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