DOUGLAS MATTHEW IDDINGS (DO) – Surgical Oncology Physician, NPI 1023233384

DOUGLAS MATTHEW IDDINGS (DO) is a healthcare provider. based in Flint, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 5101014246 (MI). The NPI Number for DOUGLAS MATTHEW IDDINGS (DO) is 1023233384

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS MATTHEW IDDINGS (DO)
NPI
1023233384
Phone
(810) 762-8092
Address
302 KENSINGTON AVE
Enumeration Date
13 April 2007
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7342405860
Graduation Year
1999 (27 years ago)
PAC ID
4587621586
Group Practice PAC ID
2365696176
Professional Enrollment ID
I20041210000820
Address ID
MI481622904MO730XXSTXX462

Contacts

Secure Messaging
diddings37090@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,444 GENERAL SURGERY in MI

Provider Addresses for DOUGLAS MATTHEW IDDINGS (DO)

  • 302 KENSINGTON AVE

    FLINT, MI 485032044

    Phone: (810) 762-8092

    Fax: (810) 762-8892

    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 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Checkpoint Surgical, Inc ($26).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2004-12-10

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
I20041210000820IGeneral SurgeryMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4532$0
99214Established patient office or other outpatient visit, 30-39 minutes2922$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48503)

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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: 2365696176View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeOH
Clinical PsychologistMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeOR
Physician AssistantOH
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

What number should I use to identify DOUGLAS MATTHEW IDDINGS (DO) for billing?
Administrative and clinical systems typically use NPI 1023233384 for DOUGLAS MATTHEW IDDINGS (DO).
Does the public listing show DOUGLAS MATTHEW IDDINGS (DO) as active?
DOUGLAS MATTHEW IDDINGS (DO)'s NPI record reflects an active status in NPPES.
What type of care does DOUGLAS MATTHEW IDDINGS (DO) provide?
DOUGLAS MATTHEW IDDINGS (DO)'s profile centers on Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DOUGLAS MATTHEW IDDINGS (DO) in Flint, Michigan?
For routing, start with Flint, Michigan for DOUGLAS MATTHEW IDDINGS (DO), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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