CARY DALE DOUGLASS (M.D.) – Family Medicine Physician, NPI 1477564342

CARY DALE DOUGLASS (M.D.) is a healthcare provider. based in Austin, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. J3085 (TX). The NPI Number for CARY DALE DOUGLASS (M.D.) is 1477564342

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
CARY DALE DOUGLASS (M.D.)
NPI
1477564342
Phone
(512) 961-6761
Address
6109 GINITA LN
Enumeration Date
10 August 2006
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5128726868
Graduation Year
1989 (37 years ago)
PAC ID
5799855441
Group Practice PAC ID
3476786260
Professional Enrollment ID
I20250430000602
Address ID
TX787316317AU1500XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for CARY DALE DOUGLASS (M.D.)

  • 6109 GINITA LN

    AUSTIN, TX 787391639

    Phone: (512) 961-6761

    Fax: (888) 687-2607

    Type: Mailing

  • 5656 BEE CAVE RD STE E200

    WEST LAKE HILLS, TX 787465035

    Phone: (512) 328-8880

    Fax: (512) 328-8933

    Type: Location

  • 2701 S Highway 183 Ste B

    Leander, TX 786412366

    Phone: (512) 872-6868

    Type: Location

  • 1500 W 38th St Ste 20

    Austin, TX 787316317

    Phone: (512) 872-6868

    Type: Location

  • 1106 CLAYTON LN STE 102W

    AUSTIN, TX 787232433

    Phone: (512) 872-6868

    Type: Mailing

  • 8500, Bluffstone Cove, Prominent Point, Austin, Travis County, Texas, 78759, United States

    SUITE A-101

    AUSTIN, TX 787597808

    Phone: (512) 961-6761

    Fax: (888) 687-2607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,149.

Total Amount is formed as General ($1,149) + Research ($0) + Ownership ($0) = $1,149.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,149).

Total Amount

$1,149

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2025-04-30

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
I20250430000602IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78739)

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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: 3476786260View full group profile
NameSpecialtyState
Family PracticeTX
General PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to CARY DALE DOUGLASS (M.D.)?
The federal identifier for CARY DALE DOUGLASS (M.D.) is NPI 1477564342.
Is CARY DALE DOUGLASS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CARY DALE DOUGLASS (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for CARY DALE DOUGLASS (M.D.). Clinical services aligned with this taxonomy classification.
Does CARY DALE DOUGLASS (M.D.) practice in Texas?
You will see Austin, Texas on file for CARY DALE DOUGLASS (M.D.) alongside any extra practice locations.
Is CARY DALE DOUGLASS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1477564342. Always confirm identity and privileges with the practice and licensing boards.

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