DOUGLAS J STATES (MD) – Family Medicine Physician, NPI 1407899669

DOUGLAS J STATES (MD) is a healthcare provider. based in North platte, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 19182 (NE). The NPI Number for DOUGLAS J STATES (MD) is 1407899669

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS J STATES (MD)
NPI
1407899669
Phone
(308) 532-5866
Address
904 HENRY AVENUE
Enumeration Date
14 June 2006
Last Update Date
17 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024834571
Graduation Year
1992 (34 years ago)
PAC ID
3072539907
Group Practice PAC ID
4880645407
Professional Enrollment ID
I20051021000309
Address ID
NE685104882LI4600XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

954 FAMILY PRACTICE in NE

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Provider Addresses for DOUGLAS J STATES (MD)

  • 904, Henry Avenue, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 69101

    Phone: (308) 532-5866

    Type: Mailing

  • 209, McNeel Lane, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 691016054

    Phone: (308) 534-8383

    Fax: (308) 534-5670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 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: 2024-09-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($20).

Total Amount

$66

General + Research + Ownership

Payments

4

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

2024-09-11

Latest reported date

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: 2005-10-21

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
I20051021000309IFamily PracticeNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes169141$0
99213Established patient office or other outpatient visit, 20-29 minutes10688$0
G0444Annual depression screening, 5 to 15 minutes4242$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2915$0
View full utilization report →

Insurance plans in this area (ZIP 69101)

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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: 4880645407View full group profile
NameSpecialtyState
Family PracticeNE
Hospitalist, Internal MedicineNE
Mental Health CounselorNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
-NE
Physician AssistantNE
Family PracticeNE

Reviews

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Frequently asked questions

Is there an official ID for DOUGLAS J STATES (MD) in U.S. healthcare records?
The official identifier for DOUGLAS J STATES (MD) is NPI 1407899669.
Is DOUGLAS J STATES (MD) shown as active in public data?
Registry records indicate DOUGLAS J STATES (MD) maintains an active NPI.
What area of care is associated with DOUGLAS J STATES (MD)?
DOUGLAS J STATES (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DOUGLAS J STATES (MD) located near North Platte?
DOUGLAS J STATES (MD) currently maps to North Platte, Nebraska in this extract.
When was this NPI issued?
Enumeration for DOUGLAS J STATES (MD) is noted as June 14, 2006 where the registry provides it.

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