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Active NPI 1154070738 Individual Practitioner Male Practitioner

Michael L Douglass , AA

Anesthesiologist Assistant • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Douglass, AA is a certified Anesthesiologist Assistant practicing in Summit, WI. With approximately 5 years of clinical experience since graduating from Indiana University School Of Medicine in 2021, Michael Douglass delivers high-quality medical care to the local community at 36500 AURORA DR.

Michael Douglass is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure for total knee joint replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Summit, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -0.8 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Summit, WI (264 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Douglass (5 Years) 5 Yrs
Summit Specialty Average (5.8 Years) 5.8 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
15 15 $1208.67 $50.26
00811 Anesthesia for procedure on large bowel using an endoscope
13 13 $1124.23 $54.44

Medical Specialties & State Licenses

CMS Verified: 2022-04-14
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License WI 209-17

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2022

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address March 22, 2022

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

👤
Provider Name / Credentials Updated March 22, 2022

Recorded as MICHAEL DOUGLASS, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Anesthesiologist Assistant (License #209-17 in WI)

🟢
Initial NPI Registration & Enumeration March 22, 2022

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: 1154070738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2022
Last Update: April 14, 2022
Sole Proprietor: No

Mailing Address

36500 Aurora Dr

Summit, WI 530664899

Phone: 2624341000

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.