DR. WILLIAM CAMPBELL III DOUGLASS (MD) – Family Medicine Physician, NPI 1396713087
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WILLIAM CAMPBELL III DOUGLASS (MD)
400 CLYDE MORRIS BLVD STE A
ORMOND BEACH, FL 321748172
Phone: (386) 231-4430
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 28 Open Payments records for all available years, with a total value of $493.
Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($156).
Total Amount
$493
General + Research + Ownership
Payments
28
Total payment records
General Amount
$493
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $156 |
| ABBVIE INC. | $101 |
| Abbott Laboratories | $76 |
| Astellas Pharma US Inc | $64 |
| GlaxoSmithKline, LLC. | $46 |
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: 2004-05-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040525001788 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 308 | 226 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 169 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 122 | 122 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 118 | 118 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 104 | 104 | $0 |
Insurance plans in this area (ZIP 32174)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nephrology, Internal Medicine | FL | |
| Family Practice | FL | |
| Vascular Surgery, Cardiac Surgery, Interventional Radiology, Thoracic Surgery | FL |
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