DOUGLAS D. CAMPBELL (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1093100646

DOUGLAS D. CAMPBELL (M.D.) is a healthcare provider. based in Portland, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. DR.0060093 (CO). The NPI Number for DOUGLAS D. CAMPBELL (M.D.) is 1093100646

Main info

Male
11 Years Of Experience
Name
DOUGLAS D. CAMPBELL (M.D.)
NPI
1093100646
Phone
(207) 774-6368
Address
887 CONGRESS ST
Enumeration Date
31 March 2015
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8575984460
Graduation Year
2015 (11 years ago)
PAC ID
7719295062
Group Practice PAC ID
9436470119
Professional Enrollment ID
I20221110002013
Address ID
MA024611663NE71XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

Provider Addresses for DOUGLAS D. CAMPBELL (M.D.)

  • 887 CONGRESS ST

    PORTLAND, ME 041023100

    Phone: (207) 774-6368

    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)

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: 2022-11-10

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
I20200819002300ICritical Care (Intensivists)METBD
I20221110002013IEmergency MedicineMATBD

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
99204New patient office or other outpatient visit, 45-59 minutes7878$0
99213Established patient office or other outpatient visit, 20-29 minutes5048$0
99214Established patient office or other outpatient visit, 30-39 minutes4341$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b2121$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 9436470119View full group profile

Reviews

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Frequently asked questions

Does DOUGLAS D. CAMPBELL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOUGLAS D. CAMPBELL (M.D.) uses 1093100646.
Can I rely on DOUGLAS D. CAMPBELL (M.D.) being an active provider?
As of the registry snapshot, DOUGLAS D. CAMPBELL (M.D.) is marked active.
What is DOUGLAS D. CAMPBELL (M.D.)'s specialty?
The listing groups DOUGLAS D. CAMPBELL (M.D.) with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DOUGLAS D. CAMPBELL (M.D.)?
DOUGLAS D. CAMPBELL (M.D.)'s geographic hint is Portland, Maine in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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