Dr. Michael L Douglas , DO
Urology • Oak Ridge, TN
200 New York Ave Ste 250
Oak Ridge, TN 378305227
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 19, 2012; this date does not establish years in practice.
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Published CMS data list 1,107 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 81003 — Automated urinalysis test: 213 service units.
- 99214 — Established patient outpatient office visit: 191 service units.
- 99204 — New patient outpatient office visit: 139 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 437 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 197 prescription fills, including refills.
- Gemtesa (Vibegron) — 62 prescription fills, including refills.
- Alfuzosin Hcl Er (Alfuzosin Hcl) — 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Urology in Tennessee (2024, 181 clinicians with data). Median for this group: 2,606. Middle half: 627 to 5,783.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 862 in 2020 to 1,107 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
200 New York Ave Ste 250
Oak Ridge, TN 378305227
NPPES lists 2 distinct additional practice-address records in Maryville, TN; Oak Ridge, TN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Covenant Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Lincoln Mem Univ, Debusk Col Of Osteopathic Med
2012
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
273 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $109,768 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $85,739 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
666 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$63,370 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $198.36 across 2 records.
By nature of payment
- Food and Beverage: $198.36 across 2 records.
Reporting-company totals
- Procept Biorobotics Corporation: $198.36 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Douglas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Douglas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Oak Ridge and Tennessee
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Urology in Tennessee (2024, 181 clinicians with data). Median for this group: 2,606. Middle half: 627 to 5,783.
Too few clinicians listed under Urology in Oak Ridge have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Urology in Tennessee (2024, 181 clinicians with data). Median for this group: $143,601. Middle half: $63,600 to $247,175.
Too few clinicians listed under Urology in Oak Ridge have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Urology in Tennessee (2024, 181 clinicians with data). Median for this group: $108,256. Middle half: $46,745 to $181,044.
Too few clinicians listed under Urology in Oak Ridge have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 70% of clinicians listed under Urology in Tennessee (2024, 197 clinicians with data). Median for this group: 1,360. Middle half: 245 to 2,451.
Too few clinicians listed under Urology in Oak Ridge have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Urology in Tennessee (2024, 197 clinicians with data). Median for this group: $170,674. Middle half: $26,644 to $514,161.
Too few clinicians listed under Urology in Oak Ridge have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Urology with a practice address in Oak Ridge, TN (289 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 28% from 862 in 2020 to 1,107 in 2024.
- 2020: 862
- 2021: 906
- 2022: 991
- 2023: 352
- 2024: 1,107
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Medicare-allowed amount
Medicare-allowed amount increased 60% from $68,679 in 2020 to $109,768 in 2024.
- 2020: $68,679
- 2021: $75,035
- 2022: $90,195
- 2023: $31,978
- 2024: $109,768
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Paid by Medicare
Paid by Medicare increased 69% from $50,682 in 2020 to $85,739 in 2024.
- 2020: $50,682
- 2021: $56,103
- 2022: $66,976
- 2023: $22,304
- 2024: $85,739
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 81% from 242 in 2020 to 437 in 2024.
- 2020: 242
- 2021: 364
- 2022: 517
- 2023: 238
- 2024: 437
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30-day fills
30-day fills increased 127% from 293 in 2020 to 666 in 2024.
- 2020: 293
- 2021: 510
- 2022: 809
- 2023: 448
- 2024: 666
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Part D drug cost
Part D drug cost increased 93% from $32,856 in 2020 to $63,370 in 2024.
- 2020: $32,856
- 2021: $75,093
- 2022: $45,387
- 2023: $26,103
- 2024: $63,370
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $529.98 in 2021 to $198.36 in 2025.
- 2021: $529.98
- 2022: $1,646.99
- 2023: $365.88
- 2024: $515.25
- 2025: $198.36
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $198.36.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $151.56 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $46.80 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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81003
Automated urinalysis test
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213 | 155 | $8.00 | $2.20 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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191 | 120 | $228.00 | $116.35 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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139 | 139 | $295.00 | $150.92 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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84 | 78 | $573.00 | $211.76 |
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51798
Ultrasound measurement of bladder capacity after voiding
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82 | 68 | $53.00 | $9.76 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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81 | 69 | $160.00 | $81.98 |
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52442
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant
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60 | 16 | $177.00 | $45.44 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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47 | 28 | $133.00 | $72.14 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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34 | 33 | $252.00 | $118.88 |
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36415
Insertion of needle into vein for collection of blood sample
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29 | 27 | $9.00 | $8.65 |
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84153
Psa (prostate specific antigen) measurement, total
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23 | 22 | $61.00 | $18.02 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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22 | 22 | $196.00 | $100.96 |
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74420
Imaging of urinary tract following injection of a contrast agent
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21 | 16 | $51.00 | $22.47 |
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52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
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18 | 18 | $2463.00 | $657.79 |
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52441
Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
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16 | 16 | $664.00 | $188.04 |
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51700
Simple bladder irrigation and/or instillation
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13 | 13 | $234.00 | $67.76 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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12 | 11 | $1217.00 | $349.22 |
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50590
Shock wave crushing of kidney stones
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11 | 11 | $1650.00 | $517.15 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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11 | 11 | $370.00 | $158.57 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 197 | 9,785 | $1,536.83 | 100 |
| Gemtesa | Vibegron | 62 | 2,859 | $44,625.81 | 24 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 35 | 1,410 | $367.18 | 21 |
| Finasteride | Finasteride | 32 | 2,100 | $569.34 | 14 |
| Myrbetriq | Mirabegron | 28 | 1,032 | $15,481.65 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 25 | 225 | $105.67 | 21 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 18 | 85 | $308.32 | 17 |
| Levofloxacin | Levofloxacin | 15 | 123 | $176.22 | 13 |
| Fluconazole | Fluconazole | 13 | 33 | $58.53 | 11 |
| Cephalexin | Cephalexin | 12 | 275 | $140.67 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-10-19NUCC Taxonomy Code: 208800000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20170831001039
TN
7810260528
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 200 NEW YORK AVE STE 250, OAK RIDGE, TN 378305227 (Tel: 8658355880)
Registered at 200 NEW YORK AVE STE 250, OAK RIDGE, TN 378305227 (Tel: 8658355880)
Registered at 425 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804 (Tel: 8659805260)
Registered at 103 W BROADWAY AVE, MARYVILLE, TN 378014703 (Tel: 8652731752)
NPI status registered as active in NPPES database
Registered at 800 OAK RIDGE TPKE STE A101, OAK RIDGE, TN 378306927 (Tel: 8654831093)
Registered at 800 OAK RIDGE TPKE STE A101, OAK RIDGE, TN 378306927 (Tel: 8654831093)
Recorded as MICHAEL DOUGLAS, D.O.
Urology (license number reported to NPPES: TN TN0000003191)
NPI status registered as active in NPPES database
Registered at 1 MEDICAL CENTER DR, STE 162, STRATFORD, NJ 080841500 (Tel: 8565466443)
Registered at 1 MEDICAL CENTER DR, STE. 162, STRATFORD, NJ 080841500
Recorded as MICHAEL DOUGLAS, D.O.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Oak Ridge
- Dr. Christopher Maull, MD
- Dr. Stuart Chasan, MD
- Dr. Randall Pearson, MD
- Dr. Brandon Cottrell, MD
- Nicolas Alcala
Mailing Address
200 New York Ave Ste 250
Oak Ridge, TN 378305227
Phone: 8658355880