JASON DOUGLAS (MD) – Surgery Physician, NPI 1598020174
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for JASON DOUGLAS (MD)
180 S MAIN ST
CANTON, IL 615202608
Phone: (309) 647-0201
Type: Mailing
2590 Morthland Dr Ste A
Valparaiso, IN 463856701
Phone: (219) 246-2338
Fax: (219) 286-7394
Type: Location
7895 Grand Blvd
Hobart, IN 463426665
Phone: (219) 947-1910
Fax: (219) 947-3117
Type: Location
7895 GRAND BLVD
HOBART, IN 463426665
Phone: (219) 947-1910
Fax: (219) 947-3117
Type: Mailing
3500 FRANCISCAN WAY STE 3A
MICHIGAN CITY, IN 463600033
Phone: (219) 861-8828
Fax: (219) 861-8827
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($42).
Total Amount
$153
General + Research + Ownership
Payments
7
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-05-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250401001513 | I | General Surgery | TX | TBD |
| I20250516002806 | I | General Surgery | IN | 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 | 81 | 72 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 74 | 74 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 71 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 61 | 43 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 55 | 51 | $0 |
Insurance plans in this area (ZIP 61520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | CA | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN |
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