Active NPI 1902169543 Individual Practitioner Male Practitioner

Dr. Michael L Douglas , DO

Urology • Oak Ridge, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Douglas, DO is a certified Urology practicing in Oak Ridge, TN. With approximately 14 years of clinical experience since graduating from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2012, Dr. Douglas delivers high-quality medical care to the local community at 200 NEW YORK AVE STE 250.

Dr. Douglas is affiliated with Covenant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 New York Ave Ste 250

Oak Ridge, TN 378305227

Telephone 8658355880

Fax 8653742009

Medicare Profile & Education

Medical School

Lincoln Mem Univ, Debusk Col Of Osteopathic Med

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Oak Ridge, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Oak Ridge, TN (323 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Douglas (14 Years) 14 Yrs

Oak Ridge Specialty Average (23.0 Years) 23.0 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
81003 Automated urinalysis test	213	155	$8.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	120	$228.00	$116.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$295.00	$150.92
52000 Diagnostic exam of bladder and urethra using an endoscope	84	78	$573.00	$211.76
51798 Ultrasound measurement of bladder capacity after voiding	82	68	$53.00	$9.76
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$160.00	$81.98
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	60	16	$177.00	$45.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	28	$133.00	$72.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$252.00	$118.88
36415 Insertion of needle into vein for collection of blood sample	29	27	$9.00	$8.65
84153 Psa (prostate specific antigen) measurement, total	23	22	$61.00	$18.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$196.00	$100.96
74420 Imaging of urinary tract	21	16	$51.00	$22.47
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$2463.00	$657.79
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$664.00	$188.04
51700 Simple bladder irrigation and/or instillation	13	13	$234.00	$67.76
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1217.00	$349.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$370.00	$158.57
50590 Shock wave crushing of kidney stones	11	11	$1650.00	$517.15

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	77	71	$215.75	$119.21
99213 Established patient office or other outpatient visit, typically 15 minutes	69	67	$166.13	$84.22
52000 Diagnostic exam of bladder and urethra using an endoscope	45	44	$484.49	$222.86
81003 Automated urinalysis test	44	42	$5.33	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$290.63	$154.18
81002 Urinalysis, manual test	40	34	$6.00	$3.32
51798 Ultrasound measurement of bladder capacity after voiding	22	22	$25.79	$9.67
74420 Imaging of urinary tract	15	13	$47.15	$23.31

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	264	146	$173.89	$117.20
81002 Urinalysis, manual test	252	144	$6.00	$3.37
99213 Established patient office or other outpatient visit, typically 15 minutes	158	121	$120.62	$82.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$245.10	$154.54
52000 Diagnostic exam of bladder and urethra using an endoscope	60	53	$340.90	$218.34
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	44	12	$102.00	$46.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	21	$29.41	$12.52
74420 Imaging of urinary tract	24	20	$36.67	$23.58
J0696 Injection, ceftriaxone sodium, per 250 mg	22	11	$1.00	$0.50
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$709.93	$358.48
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$379.00	$193.51
76872 Ultrasound scan of pelvic region through rectum	12	12	$195.17	$129.00
55700 Biopsy of prostate gland	11	11	$373.00	$225.54
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$174.00	$54.23
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1376.00	$678.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	268	136	$6.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	139	$165.00	$117.77
99213 Established patient office or other outpatient visit, typically 15 minutes	129	99	$114.29	$83.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$250.00	$152.60
52000 Diagnostic exam of bladder and urethra using an endoscope	78	65	$338.00	$211.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	16	$35.44	$12.64
51798 Ultrasound measurement of bladder capacity after voiding	23	20	$32.00	$8.99
74420 Imaging of urinary tract	15	11	$38.00	$22.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$196.23	$128.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	242	140	$6.00	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	104	$160.39	$102.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$243.53	$155.93
99213 Established patient office or other outpatient visit, typically 15 minutes	100	79	$111.64	$70.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	54	$216.60	$134.60
52000 Diagnostic exam of bladder and urethra using an endoscope	60	56	$338.00	$197.20
51798 Ultrasound measurement of bladder capacity after voiding	30	27	$32.00	$9.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$198.44	$128.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	11	$31.41	$12.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$105.57	$69.93
74420 Imaging of urinary tract	17	14	$38.00	$25.05
76872 Ultrasound scan of pelvic region through rectum	12	12	$190.50	$120.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	275	128	$6.00	$3.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	119	$147.44	$101.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$225.73	$150.66
52000 Diagnostic exam of bladder and urethra using an endoscope	74	67	$289.76	$173.03
99213 Established patient office or other outpatient visit, typically 15 minutes	68	51	$101.47	$67.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	25	$101.76	$69.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	37	$197.53	$134.93
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	44	11	$89.03	$55.41
51798 Ultrasound measurement of bladder capacity after voiding	35	32	$26.51	$11.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$189.51	$129.78
74420 Imaging of urinary tract	33	22	$27.09	$24.89
76872 Ultrasound scan of pelvic region through rectum	25	25	$190.56	$113.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$150.00	$100.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$728.90	$93.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	12	$37.37	$15.48
51700 Simple bladder irrigation and/or instillation	14	12	$118.00	$69.05
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$2624.38	$662.91
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$333.18	$203.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	531	261	$13.36	$2.70
51798 Ultrasound measurement of bladder capacity after voiding	398	232	$47.01	$14.13
99213 Established patient office or other outpatient visit, typically 15 minutes	226	150	$141.33	$67.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	123	$224.06	$99.38
52000 Diagnostic exam of bladder and urethra using an endoscope	115	109	$485.62	$153.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$256.07	$100.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$296.99	$150.52
36415 Insertion of needle into vein for collection of blood sample	60	50	$12.42	$2.94
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	49	13	$2525.31	$58.33
74420 Imaging of urinary tract	34	26	$216.00	$17.05
84153 Psa (prostate specific antigen) measurement, total	27	26	$56.00	$22.26
51700 Simple bladder irrigation and/or instillation	24	20	$235.25	$68.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$284.33	$132.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	21	$1103.64	$132.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$96.57	$40.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$417.60	$192.47
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1198.57	$401.91
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$3325.77	$213.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	179	100	$18.00	$2.99
51798 Ultrasound measurement of bladder capacity after voiding	146	87	$55.00	$17.06
99213 Established patient office or other outpatient visit, typically 15 minutes	66	47	$90.00	$66.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$237.00	$150.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	43	$137.00	$100.28
52000 Diagnostic exam of bladder and urethra using an endoscope	40	39	$553.00	$151.90
36415 Insertion of needle into vein for collection of blood sample	28	23	$15.00	$2.85
84153 Psa (prostate specific antigen) measurement, total	19	15	$56.00	$24.73
74420 Imaging of urinary tract	17	15	$327.00	$16.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$298.00	$192.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$159.00	$99.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$262.00	$129.44

Medical Specialties & State Licenses

CMS Verified: 2023-10-19

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TN TN0000003191

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q030847 (TN)

Hospital & Practice Group Affiliations

Covenant Medical Group Inc

200 New York Ave, Oak Ridge, TN 378305227

Phone: 8658355880

Secondary Practice Locations

800 Oak Ridge Tpke Ste A101

Oak Ridge, TN 378306927

Phone: 8654831093

425 Bmh Physicians Office Bldg

Maryville, TN 37804

Phone: 8659805260

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kristina Bowles , FNP-BC

Nurse Practitioner

NPI 1649823600

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location October 19, 2023

Registered at 200 NEW YORK AVE STE 250, OAK RIDGE, TN 378305227 (Tel: 8658355880)

📍

Updated Business Mailing Address October 19, 2023

Registered at 200 NEW YORK AVE STE 250, OAK RIDGE, TN 378305227 (Tel: 8658355880)

📍

Updated Practice Location September 09, 2019

Registered at 425 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804 (Tel: 8659805260)

📍

Updated Business Mailing Address September 09, 2019

Registered at 103 W BROADWAY AVE, MARYVILLE, TN 378014703 (Tel: 8652731752)

✅

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2017

Registered at 800 OAK RIDGE TPKE STE A101, OAK RIDGE, TN 378306927 (Tel: 8654831093)

📍

Updated Business Mailing Address December 11, 2017

Registered at 800 OAK RIDGE TPKE STE A101, OAK RIDGE, TN 378306927 (Tel: 8654831093)

👤

Provider Name / Credentials Updated December 11, 2017

Recorded as MICHAEL DOUGLAS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Urology (License #TN0000003191 in TN)

✅

NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2013

Registered at 1 MEDICAL CENTER DR, STE 162, STRATFORD, NJ 080841500 (Tel: 8565466443)

📍

Updated Business Mailing Address February 12, 2013

Registered at 1 MEDICAL CENTER DR, STE. 162, STRATFORD, NJ 080841500

👤

Provider Name / Credentials Updated February 12, 2013

Recorded as MICHAEL DOUGLAS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 19, 2012

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: 1902169543

Entity Type:

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

Enumeration Date: June 19, 2012

Last Update: October 19, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 New York Ave Ste 250

Oak Ridge, TN 378305227

Phone: 8658355880

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.