MICHAEL LEE DOUGLAS (M.D.) – Family Medicine Physician, NPI 1902907454
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for MICHAEL LEE DOUGLAS (M.D.)
100 Freeman Dr
Saint Peter, MN 560823504
Phone: (507) 931-7125
Fax: (507) 931-7126
Type: Location
Bergslien Street, Village of Baldwin, Saint Croix County, Wisconsin, 54002, United States
BALDWIN, WI 54002
Phone: (715) 684-1111
Type: Location
Bergslien Street, Baldwin, Saint Croix County, Wisconsin, 54002, United States
BALDWIN, WI 540022600
Phone: (715) 684-1111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $672.
Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($672).
Total Amount
$672
General + Research + Ownership
Payments
1
Total payment records
General Amount
$672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROCEPT BioRobotics Corporation | $672 |
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: 2026-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100209000687 | I | Family Practice | MN | TBD |
| I20161227002079 | I | Family Practice | WI | TBD |
| I20251030003230 | I | Family Practice | SD | TBD |
| I20260114001260 | I | Family Practice | MO | 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 | 116 | 113 | $0 |
| 81003 | Automated urinalysis test | 16 | 16 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 56082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| - | KY | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| Medical Oncology, Hematology | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| N E U R O S U R G E R Y | CO |
Reviews
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