Douglas Edmund Padgett, MD
Specialist · New York, NY
Douglas Edmund Padgett, MD is a specialist with a practice address in New York, New York, and NPI 1063523553, issued on Aug 31, 2006. Check the license (New York 162802, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Douglas Edmund Padgett
- Credential
- MD
- Primary taxonomy
- Specialist 174400000X
- License number
- 162802 NY
Self-reported in NPPES; status is on the state search - Practice location
- 535 E 70TH St, New York, NY 10021
- Phone
- (212) 606-1642
- Enumerated
- Aug 31, 2006
- Record last updated
- Mar 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (212) 606-1917
- Medicare enrollment
- Enrolled (PECOS I20031112000538); accepts Medicare assignment
- Medical or professional school
- New York Medical College, 1982
- Entity
- Type 1 · individual
8 nearest specialist records → All 22,636 in New York → Look up another NPI →
Also registered at 535 E 70TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Douglas Edmund Padgett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 162802Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average specialist in 2024
26 Medicare Part D claims for 18 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- NY Society For The Relief OF Ruptured And Crippled MaintainingNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Douglas Edmund Padgett among 22,636 specialist records in New York
Douglas Edmund Padgett, MD 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 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 92% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 4% of these records are
- Graduated1982 · median 1990 among the 943 with a school on file
- Record last updated2021 · 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).
1,896 specialist records list a practice address in New York
They are 1,896 of the 98,468 NPPES records with a practice address in New York, and 22,636 specialist records in New York.
All 22,636 in New York → Every provider in New York → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Dalit Ashany, M.D.New York, NY 100211407819931
- Barbara Braffman, M.D.New York, NY 100211225001662
- Keith Brunckhorst, M.D.New York, NY 100211053381186
- Doris Day, MDNew York, NY 100211851384028
- William Grace, M.D.New York, NY 100211578565610
- Gwen Harris, MDNew York, NY 100211285607614
- Clyde Hershan, M.D.New York, NY 100211568435956
- H. Jaliman, M.D.New York, NY 100211376505453
Common questions
What is Douglas Edmund Padgett, MD's NPI number?
Douglas Edmund Padgett, MD's National Provider Identifier (NPI) is 1063523553, issued on Aug 31, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Douglas Edmund Padgett, MD located?
The NPPES record lists a practice address at 535 E 70TH St, New York, NY, 10021. Phone: (212) 606-1642. Providers update this record themselves, so call before visiting.
How can I verify Douglas Edmund Padgett, MD's license?
NPPES lists New York license number 162802, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Douglas Edmund Padgett, MD prescribe under Medicare Part D?
In 2024, Douglas Edmund Padgett, MD had 26 Medicare Part D claims for 18 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Douglas Edmund Padgett, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.