DR. DOUGLAS W KINGMA (MD) – Hematology (Pathology) Physician, NPI 1003871815

DR. DOUGLAS W KINGMA (MD) is a healthcare provider. based in Franklin, Tennessee. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. MD430689 (PA). The NPI Number for DR. DOUGLAS W KINGMA (MD) is 1003871815

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS W KINGMA (MD)
NPI
1003871815
Phone
(615) 986-4330
Address
448 Carothers Parkway
Enumeration Date
18 April 2006
Last Update Date
16 May 2019

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6158601556
Graduation Year
1987 (39 years ago)
PAC ID
3072579275
Group Practice PAC ID
4688586134
Professional Enrollment ID
I20110531000673
Address ID
TN372072527NA3443XPIKE305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:20State licenses:5Digital endpointsOther names

460 PATHOLOGY in TN

Provider Addresses for DR. DOUGLAS W KINGMA (MD)

  • 448 Carothers Parkway

    Suite 320

    Franklin, TN 37067

    Phone: (615) 986-4330

    Fax: (615) 550-4320

    Type: Location

  • 2004, Hayes Street, Nashville, Davidson County, Tennessee, 37203, United States

    STE 800

    NASHVILLE, TN 372032659

    Phone: (615) 514-6963

    Fax: (615) 986-0560

    Type: Mailing

  • Carothers Parkway, Franklin, Williamson County, Middle Tennessee, Tennessee, 37067, United States

    SUITE 310

    FRANKLIN, TN 37067

    Phone: (615) 986-4330

    Fax: (615) 550-4320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,564.

Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Adaptive Biotechnologies Corporation ($1,505).

Total Amount

$1,564

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2011-05-31

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
I20110531000673IPathologyTNTBD

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
88185Flow cytometry technique for dna or cell analysis, each additional marker185,078746$0
88313Special stained specimen slides to examine tissue including interpretation and report1,912415$0
88305Pathology examination of tissue using a microscope, intermediate complexity847411$0
88184Flow cytometry technique for dna or cell analysis, first marker835746$0
88374Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure831261$0
View full utilization report →

Insurance plans in this area (ZIP 37067)

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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: 4688586134View full group profile

Reviews

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Frequently asked questions

How is DR. DOUGLAS W KINGMA (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DOUGLAS W KINGMA (MD) with NPI 1003871815.
Can I rely on DR. DOUGLAS W KINGMA (MD) being an active provider?
As of the registry snapshot, DR. DOUGLAS W KINGMA (MD) is marked active.
What is DR. DOUGLAS W KINGMA (MD)'s primary classification?
Hematology (Pathology) Physician is the headline specialty for DR. DOUGLAS W KINGMA (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DOUGLAS W KINGMA (MD) on a map?
Expect Franklin, Tennessee as a primary anchor for DR. DOUGLAS W KINGMA (MD) unless the record lists multiple sites.
Why does DR. DOUGLAS W KINGMA (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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