Active NPI 1689122129 Individual Practitioner Male Practitioner

Sean T Douglas , PA-C

Physician Assistant • Pittsfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sean Douglas, PA-C is a certified Physician Assistant practicing in Pittsfield, MA. With approximately 10 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2016, Sean Douglas delivers high-quality medical care to the local community at 999 DALTON AVE.

Sean Douglas is affiliated with Convenientmd - Ffs Uc Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

999 Dalton Ave

Pittsfield, MA 012012903

Telephone 4132426577

Associated Practice Facility / Clinic

🏢 Convenientmd Llc Facility NPI 1982301289

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pittsfield, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

47 Specialists

Practicing in Pittsfield, MA (4746 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Douglas (10 Years) 10 Yrs

Pittsfield Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	203	203	$325.30	$143.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$213.60	$95.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	84	$213.00	$110.41
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	83	77	$50.00	$34.62
99213 Established patient office or other outpatient visit, typically 15 minutes	60	56	$144.51	$78.35
87804 Detection test by immunoassay with direct visual observation for influenza virus	59	29	$71.00	$16.22
81003 Automated urinalysis test	43	43	$50.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	35	35	$66.00	$16.20
71046 X-ray of chest, 2 views	34	32	$66.74	$29.42
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$50.00	$12.35
90471 Administration of 1 vaccine	15	15	$49.82	$18.02
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$150.00	$62.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$324.11	$143.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$215.66	$96.45
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	55	52	$59.09	$34.62
99213 Established patient office or other outpatient visit, typically 15 minutes	53	52	$213.02	$75.17
81003 Automated urinalysis test	39	38	$40.77	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	39	37	$65.23	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$259.93	$107.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$58.14	$16.22
71046 X-ray of chest, 2 views	17	17	$94.94	$18.69
90471 Administration of 1 vaccine	14	14	$54.18	$17.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	67	$217.59	$75.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$216.69	$92.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	36	$150.79	$19.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$311.40	$138.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$312.50	$106.43
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$26.00	$16.33
71046 X-ray of chest, 2 views	23	23	$120.00	$8.49
81003 Automated urinalysis test	19	19	$7.37	$2.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$410.36	$151.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$207.00	$98.00
99213 Established patient office or other outpatient visit, typically 15 minutes	60	58	$207.00	$81.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	51	51	$100.00	$41.38
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$150.00	$66.91
81003 Automated urinalysis test	28	27	$5.00	$2.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	28	$145.00	$19.28
71046 X-ray of chest, 2 views	19	19	$59.37	$9.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$150.00	$52.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$146.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$300.00	$111.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$377.27	$191.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	97	$145.00	$21.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$207.00	$92.80
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$150.00	$68.00
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$207.00	$66.01
36415 Insertion of needle into vein for collection of blood sample	58	58	$5.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$300.00	$143.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$300.00	$95.00
81003 Automated urinalysis test	40	38	$5.00	$2.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$150.00	$39.62
99284 Emergency department visit with moderate level of medical decision making	27	27	$465.01	$105.91
71046 X-ray of chest, 2 views	23	23	$56.00	$9.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$350.00	$179.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	393	376	$454.12	$104.67
99285 Emergency department visit for life threatening or functioning severity	114	110	$671.59	$154.11
99283 Emergency department visit with low level of medical decision making	76	73	$271.10	$55.19
99282 Emergency department visit with straightforward medical decision making	37	36	$245.95	$36.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$202.00	$97.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	282	269	$439.62	$103.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	75	$202.00	$94.85
99283 Emergency department visit with low level of medical decision making	57	53	$261.89	$54.37
99213 Established patient office or other outpatient visit, typically 15 minutes	52	52	$132.00	$63.59
99285 Emergency department visit for life threatening or functioning severity	48	47	$659.80	$151.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$217.00	$96.43
99282 Emergency department visit with straightforward medical decision making	25	25	$234.97	$36.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$288.00	$129.46
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$51.00	$16.20
81002 Urinalysis, manual test	14	14	$19.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	278	264	$424.70	$101.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	138	$202.00	$94.33
99283 Emergency department visit with low level of medical decision making	55	54	$255.88	$53.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$217.00	$94.84
99285 Emergency department visit for life threatening or functioning severity	33	33	$648.02	$149.08
99282 Emergency department visit with straightforward medical decision making	32	32	$227.58	$35.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$288.00	$126.67
81002 Urinalysis, manual test	17	17	$19.00	$3.43
94640 Inhalation treatment for airway obstruction or sputum production	17	14	$58.00	$16.64
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$85.00	$14.99

Medical Specialties & State Licenses

CMS Verified: 2023-11-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA5886

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 019994-1

Hospital & Practice Group Affiliations

Convenientmd - Ffs Uc Llc

40 Davis Straits, Falmouth, MA 025403906

Phone: 7742553010

Convenientmd - Ffs Uc Llc

999 Dalton Ave, Pittsfield, MA 012012903

Phone: 4132426577

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Ashley Tanguay , PA-C

Physician Assistant

NPI 1558810630

Physician Assistant (Certified)

Lyan Nguyen , PA-C

Physician Assistant

NPI 1629752530

Physician Assistant (Certified)

Raya Ariella , FNP

Nurse Practitioner - Family

NPI 1689948986

Family Nurse Practitioner

Michelle Monteleone-Ethier , CNP

Nurse Practitioner - Acute Care

NPI 1841719200

Certified Nurse Practitioner

Dr. Kathryn Sondrini , DNP FNP-C

Nurse Practitioner - Family

NPI 1932612280

DNPFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location November 15, 2023

Registered at 999 DALTON AVE, PITTSFIELD, MA 012012903 (Tel: 4132426577)

📍

Updated Business Mailing Address November 15, 2023

Registered at 360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 038017105 (Tel: 6034106700)

✅

NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2017

Registered at 725 NORTH ST, PITTSFIELD, MA 012014109 (Tel: 4134472403)

📍

Updated Business Mailing Address January 13, 2017

Registered at 725 NORTH ST, PITTSFIELD, MA 012014109 (Tel: 4134472403)

👤

Provider Name / Credentials Updated January 13, 2017

Recorded as SEAN DOUGLAS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Physician Assistant (License #019994-1 in NY)

✅

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2016

Registered at 725 NORTH ST, PITTSFIELD, MA 012014109 (Tel: 4133957572)

📍

Updated Business Mailing Address September 13, 2016

Registered at 725 NORTH ST, PITTSFIELD, MA 012014109 (Tel: 4133957572)

👤

Provider Name / Credentials Updated September 13, 2016

Recorded as SEAN DOUGLAS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Physician Assistant (License #PA5886 in MA)

🟢

Initial NPI Registration & Enumeration September 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689122129

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 13, 2016

Last Update: November 15, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.