DR. DOUGLAS MARK RICHLEY (D.O.) – Dermatology Physician, NPI 1780025619

DR. DOUGLAS MARK RICHLEY (D.O.) is a healthcare provider. based in Manistee, Michigan. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 2013023332 (MO). The NPI Number for DR. DOUGLAS MARK RICHLEY (D.O.) is 1780025619

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS MARK RICHLEY (D.O.)
NPI
1780025619
Phone
(231) 299-8900
Address
PO BOX 378
Enumeration Date
8 July 2013
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2316425031
Graduation Year
2012 (14 years ago)
PAC ID
4880987015
Group Practice PAC ID
9739451063
Professional Enrollment ID
I20160726002457
Address ID
MI496012542CA440XXSTXX300

Contacts

Secure Messaging
directmail@trunorthdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:12State licenses:2Other names

532 DERMATOLOGY in MI

Provider Addresses for DR. DOUGLAS MARK RICHLEY (D.O.)

  • PO BOX 378

    MANISTEE, MI 496600378

    Phone: (231) 299-8900

    Fax: (231) 887-4320

    Type: Mailing

  • 315 OAK GROVE ST

    MANISTEE, MI 496601121

    Phone: (231) 299-8900

    Fax: (231) 887-4320

    Type: Mailing

  • 315 OAKGROVE ST

    MANISTEE, MI 496601176

    Phone: (231) 299-8900

    Fax: (231) 887-4320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 228 Open Payments records for all available years, with a total value of $4,410.

Total Amount is formed as General ($4,410) + Research ($0) + Ownership ($0) = $4,410.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($498).

Total Amount

$4,410

General + Research + Ownership

Payments

228

Total payment records

General Amount

$4,410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-07-26

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
I20160726002457IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths1,272281$0
99213Established patient office or other outpatient visit, 20-29 minutes894674$0
17000Destruction of precancer skin growth, 1 growth581423$0
99212Established patient office or other outpatient visit, 10-19 minutes178149$0
99203New patient office or other outpatient visit, 30-44 minutes167167$0
View full utilization report →

Insurance plans in this area (ZIP 49660)

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Provider's Procedures

DR. DOUGLAS MARK RICHLEY (D.O.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO17003Destruction of 2-14 skin growths31479

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: 9739451063View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for DR. DOUGLAS MARK RICHLEY (D.O.)?
Save NPI 1780025619 if you need a stable reference for DR. DOUGLAS MARK RICHLEY (D.O.).
Is DR. DOUGLAS MARK RICHLEY (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DOUGLAS MARK RICHLEY (D.O.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. DOUGLAS MARK RICHLEY (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DOUGLAS MARK RICHLEY (D.O.)?
The snapshot lists Manistee, Michigan for DR. DOUGLAS MARK RICHLEY (D.O.); download NPPES for the complete set.
How can I contact DR. DOUGLAS MARK RICHLEY (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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