NPPES file of Aug 9, 2026

Donald P. Douglas, M.D.

Specialist · East Amherst, NY

Donald P. Douglas, M.D. is a specialist with a practice address in East Amherst, New York, and NPI 1245212042, issued on Nov 17, 2005. Check the license (New York 167328, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245212042
Name
Donald P. Douglas
Credential
M.D.
Primary taxonomy
Specialist 174400000X
License number
167328 NY
Self-reported in NPPES; status is on the state search
Practice location
8750 Transit RD, East Amherst, NY 14051
Phone
(716) 636-1470
Enumerated
Nov 17, 2005
Record last updated
Aug 10, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(716) 636-1423
Medicare enrollment
Enrolled (PECOS I20100507000155); accepts Medicare assignment
Medical or professional school
Temple University School Of Medicine, 1981
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 8750 Transit RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Roger Badgley, RPA-CSurgical Physician Assistant1306828132
  2. Jessica Beck, PASurgical Physician Assistant1457517674
  3. Caroline D'Souza, MDObstetrics & Gynecology Physician1164541066
  4. Marcelino D'Souza, MDObstetrics & Gynecology Physician1790899458
  5. Samantha Fleming, PASurgical Physician Assistant1003257114
  6. Peter Gambacorta, D.O.Specialist1700089596

Verify Donald P. Douglas in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 167328
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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85% fewer Medicare Part D claims than the average specialist in 2024

210 Medicare Part D claims for 137 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. 83 claims were for opioids.

  1. Donald Douglas210
  2. Specialty average1,380

Most prescribed

  1. Methylprednisolone76 claims
  2. Hydrocodone-Acetaminophen66 claims
  3. Tramadol Hcl13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 84.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.3
  2. Costout of 100 · 30%72.3
  3. Promoting interoperabilityout of 100 · 25%91.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Excelsior Orthopaedics LLPAmherst, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Donald P. Douglas among 22,636 specialist records in New York

Donald P. Douglas, M.D. is one of 22,636 specialist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 99% newer
  • In a Medicare fileYes · 6% of these records are
  • In the CMS Doctors and Clinicians fileYes · 4% of these records are
  • Graduated1981 · median 1990 among the 943 with a school on file
  • Record last updated2012 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 specialist records list a practice address in East Amherst

They are 10 of the 356 NPPES records with a practice address in East Amherst, and 22,636 specialist records in New York.

The 8 specialist records with the nearest ZIP codes

  1. Peter Gambacorta, D.O.East Amherst, NY 140511700089596
  2. Patrick Hlubik, M.D.East Amherst, NY 140511588895189
  3. Vanessa Huffman, L.M.T.East Amherst, NY 140511215164785
  4. Thomas Lombardo, M.D.East Amherst, NY 140511881677128
  5. Frank Luzi, M.D.East Amherst, NY 140511427030600
  6. David Miller, M.D.East Amherst, NY 140511083696280
  7. Margaret Saeli, MS. ED.East Amherst, NY 140511720349046
  8. Therese Toughey, MSEast Amherst, NY 140511326308172

Common questions

What is Donald P. Douglas, M.D.'s NPI number?

Donald P. Douglas, M.D.'s National Provider Identifier (NPI) is 1245212042, issued on Nov 17, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Donald P. Douglas, M.D. located?

The NPPES record lists a practice address at 8750 Transit RD, East Amherst, NY, 14051. Phone: (716) 636-1470. Providers update this record themselves, so call before visiting.

How can I verify Donald P. Douglas, M.D.'s license?

NPPES lists New York license number 167328, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

How much does Donald P. Douglas, M.D. prescribe under Medicare Part D?

In 2024, Donald P. Douglas, M.D. had 210 Medicare Part D claims for 137 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.

What is Donald P. Douglas, M.D.'s MIPS final score?

The 2023 MIPS final score is 84.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.