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Deactivated NPI 1780621540 Deactivated / Inactive NPI Male Practitioner

Dr. Benjamin Douglas , MD

Specialist • Sylva, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Douglas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date May 08, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Douglas, MD was a registered Specialist practicing in Sylva, NC. Throughout an active medical career spanning 19 years, Dr. Douglas provided care at the practice location at 40 MITCHELL RD until profile deactivation on 2025-05-08.

Historical Medicare Part B clinical services included professional service for preparation and provision of, test for allergy using allergenic extract, professional service for multiple injections of allergen. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

40 Mitchell Rd

Sylva, NC 287792616

Telephone 8285867474
Fax 8285867473
Associated Practice Facility / Clinic
🏢 Gregory Salyer Facility NPI 1558551747

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sylva, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Sylva, NC (945 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens
1,990 43 $24.00 $13.34
95004 Test for allergy using allergenic extract
444 12 $13.50 $3.93
95117 Professional service for multiple injections of allergen
375 41 $40.00 $9.88
99213 Established patient office or other outpatient visit, typically 15 minutes
214 162 $95.00 $70.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
144 144 $171.02 $102.77
30117 Removal or destruction of growth in nose
74 37 $1350.00 $433.33
31231 Diagnostic examination of nasal passages using an endoscope
67 67 $325.00 $190.56
70486 CT scan of face
60 60 $550.00 $131.65
31575 Diagnostic exam of voice box using a flexible endoscope
38 36 $300.00 $111.19
31295 Dilation of nasal sinus using an endoscope
37 37 $7783.78 $1436.80
30140 Removal of nasal air passage under lining tissue
36 36 $2120.14 $199.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 30 $150.00 $104.42
69210 Removal of impacted ear wax
30 25 $95.00 $44.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $317.00 $73.33
31296 Dilation of frontal nasal sinus using an endoscope
19 19 $15000.00 $2666.06
31298 Dilation of nasal sinus using an endoscope
17 17 $19411.76 $5210.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $245.00 $158.00
99213 Established patient office or other outpatient visit, typically 15 minutes
14 13 $206.50 $49.39

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 26813

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Emily Wilkins

Physician Assistant

NPI 1104413814
NPI 1144245242

Doctor of Audiology

Paige Brinke , PA-C, MS

Physician Assistant - Medical

NPI 1174692495

Physician Assistant (Certified), Master of Science

NPI 1285680066

Doctor of Medicine (M.D.)

Emily Peacock , HIS

Hearing Instrument Specialist

NPI 1306537774
NPI 1346430543

Doctor of Audiology

Career & Practice History Timeline

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

9 Historical Events
⚠️
NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

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Updated Practice Location June 05, 2019

Registered at 38 THE VILLAGE OVERLOOK, SYLVA, NC 287792616 (Tel: 8285867474)

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Updated Business Mailing Address June 05, 2019

Registered at 38 THE VILLAGE OVERLOOK, SYLVA, NC 287792616 (Tel: 8285867474)

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2007

Registered at 40 MITCHELL RD, SYLVA, NC 287792616 (Tel: 8285867474)

📍
Updated Business Mailing Address October 19, 2007

Registered at 40 MITCHELL RD, SYLVA, NC 287792616 (Tel: 8285867474)

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Provider Name / Credentials Updated October 19, 2007

Recorded as BENJAMIN DOUGLAS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Specialist (License #26813 in NC)

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Initial NPI Registration & Enumeration June 01, 2006

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: 1780621540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: October 19, 2007
Deactivation Date: May 08, 2025

Mailing Address

40 Mitchell Rd

Sylva, NC 287792616

Phone: 8285867474

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.