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Deactivated NPI 1306820550 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Lynn Young , MD

Internal Medicine • Spencer, OK

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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. Douglas Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date September 18, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Young, MD was a registered Internal Medicine practicing in Spencer, OK. Throughout an active medical career spanning 19 years, Dr. Young provided care at the practice location at 12716 NE 36TH ST until profile deactivation on 2024-09-18.

Historical Medicare Part B clinical services included established patient outpatient office visit, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12716 Ne 36th St

Spencer, OK 730849103

Telephone 4057693301
Fax 4057699685
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spencer, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Spencer, OK (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
-0.9% 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 (2022)
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
25 23 $86.92 $87.70
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $59.49 $60.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 21809

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.

Practice Associates & Co-Workers

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

33 Associated Practitioners
Devon Praytor

Pharmacy Technician

NPI 1023651932
NPI 1033193214

Doctor of Medicine (M.D.)

Craig Dawson , APRN

Nurse Practitioner - Family

NPI 1033725205

Advanced Practice Registered Nurse

Marguerita Shaw

Case Manager/Care Coordinator

NPI 1043676240
Lashell Currie

Pharmacy Technician

NPI 1053954966
Sabrina Maxwell , LPN

Licensed Practical Nurse

NPI 1093310500

Licensed Practical Nurse

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Internal Medicine (License #31809 in OK)

NPI Profile Active September 14, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2010

Registered at 12716 NE 36TH ST, SPENCER, OK 730849103 (Tel: 4057693301)

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Updated Business Mailing Address September 14, 2010

Registered at PO BOX 30589, MIDWEST CITY, OK 731403589 (Tel: 4057693301)

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Provider Name / Credentials Updated September 14, 2010

Recorded as DOUGLAS YOUNG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2010

Internal Medicine (License #21809 in OK)

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Initial NPI Registration & Enumeration December 01, 2005

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: 1306820550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: September 14, 2010
Deactivation Date: September 18, 2024

Mailing Address

Po Box 30589

Midwest City, OK 731403589

Phone: 4057693301

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.