Active NPI 1457400954 Individual Practitioner Male Practitioner

Dr. Douglas Gregory Hames , MD

Internal Medicine • Eastpointe, MI

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Hames, MD is a registered Internal Medicine practitioner in Eastpointe, MI. With approximately 50 years of clinical practice since graduating from Wayne State University School Of Medicine in 1976, Dr. Hames provides healthcare services at the registered practice location at 22850 KELLY RD.

Dr. Hames accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

22850 Kelly Rd

Eastpointe, MI 480212028

Telephone 5867742900

Associated Practice Facility / Clinic

🏢 Douglas G Hames Md Pllc Facility NPI 1396433413

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Eastpointe, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +19.6 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Eastpointe, MI (6010 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hames (50 Years) 50 Yrs

Eastpointe Specialty Average (30.4 Years) 30.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	69	$250.00	$129.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$200.00	$130.16
99213 Established patient office or other outpatient visit, typically 15 minutes	68	52	$110.00	$91.20
G0444 Annual depression screening, 5 to 15 minutes	45	45	$30.00	$18.71
99497 Advance care planning, first 30 minutes	28	26	$120.00	$82.70
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$75.00	$56.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	73	$177.00	$131.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$212.00	$132.75
99497 Advance care planning, first 30 minutes	20	20	$109.00	$85.30
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$122.00	$92.92
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$96.00	$92.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	127	$177.00	$131.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$212.00	$134.49
99497 Advance care planning, first 30 minutes	58	58	$109.00	$87.52
99442 Telephone medical discussion with physician, 11-20 minutes	44	39	$96.00	$92.58
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$122.00	$91.81
99441 Telephone medical discussion with physician, 5-10 minutes	34	27	$58.00	$57.55
99443 Telephone medical discussion with physician, 21-30 minutes	28	23	$140.00	$131.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$108.00	$54.58
G0008 Administration of influenza virus vaccine	11	11	$37.00	$29.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	142	$175.16	$134.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$212.00	$137.67
99497 Advance care planning, first 30 minutes	110	110	$109.00	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$119.81	$95.10
99442 Telephone medical discussion with physician, 11-20 minutes	51	41	$96.00	$95.65
99443 Telephone medical discussion with physician, 21-30 minutes	40	31	$140.00	$135.49
99495 Transitional care management services for problem of at least moderate complexity	19	19	$269.00	$204.41
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$58.00	$58.29
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$27.00	$20.47
G0008 Administration of influenza virus vaccine	17	17	$32.00	$17.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$108.00	$54.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	109	$174.50	$113.19
99443 Telephone medical discussion with physician, 21-30 minutes	109	89	$121.28	$102.43
99442 Telephone medical discussion with physician, 11-20 minutes	94	78	$87.50	$73.32
99213 Established patient office or other outpatient visit, typically 15 minutes	91	76	$118.81	$78.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$212.00	$120.35
99441 Telephone medical discussion with physician, 5-10 minutes	64	53	$54.50	$45.07
99497 Advance care planning, first 30 minutes	31	31	$109.00	$90.37
99495 Transitional care management services for problem of at least moderate complexity	16	15	$265.06	$185.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$72.38	$47.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	184	$174.00	$110.76
99213 Established patient office or other outpatient visit, typically 15 minutes	170	107	$118.00	$76.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$212.00	$119.84
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	29	29	$31.86	$26.62
G0008 Administration of influenza virus vaccine	28	28	$32.00	$16.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$71.00	$46.42
99495 Transitional care management services for problem of at least moderate complexity	21	18	$290.00	$168.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	183	$171.00	$108.99
99213 Established patient office or other outpatient visit, typically 15 minutes	193	119	$116.00	$73.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$206.00	$117.70
G0008 Administration of influenza virus vaccine	31	31	$32.00	$20.55
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$23.00	$17.48
99495 Transitional care management services for problem of at least moderate complexity	15	13	$290.00	$155.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$70.00	$42.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	180	$160.00	$107.01
99213 Established patient office or other outpatient visit, typically 15 minutes	267	155	$108.00	$72.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$206.00	$116.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	24	$64.00	$44.10
G0008 Administration of influenza virus vaccine	23	23	$32.00	$25.35
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$23.00	$17.48
99495 Transitional care management services for problem of at least moderate complexity	16	15	$290.00	$164.48

Medical Specialties & State Licenses

CMS Verified: 2023-07-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI DH040884

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2101011 (MI)

Commercial Insurance / Payer ID Bcbs

0503285 (MI)

Commercial Insurance / Payer ID Bc

4301040884 (MI)

Commercial Insurance / Payer ID Private Ins

040884 (MI)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 22850 KELLY RD, EASTPOINTE, MI 480212028 (Tel: 5867742900)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1225 SUNNINGDALE DR, GROSSE POINTE WOODS, MI 482361672 (Tel: 3138826611)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS HAMES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #DH040884 in MI)

🟢

Initial NPI Registration & Enumeration January 10, 2007

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: 1457400954

Entity Type:

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

Enumeration Date: January 10, 2007

Last Update: July 11, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1225 Sunningdale Dr

Grosse Pointe Woods, MI 482361672

Phone: 3138826611

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.