Dr. L. Douglas Marsh , MD
General Practice • Vancouver, WA
406 Se 131st Ave, Suite A101
Vancouver, WA 986834004
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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Dr. L. Douglas Marsh is listed in NPPES under General Practice.
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NPI assigned on September 8, 2005; this date does not establish years in practice.
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Published CMS data list 629 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99213 — Established patient outpatient office visit: 244 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 134 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 82 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 69 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Atorvastatin Calcium — 20 prescription fills, including refills.
- Levothyroxine Sodium — 17 prescription fills, including refills.
- Metformin Hcl — 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 653 in 2017 to 629 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
406 Se 131st Ave
Suite A101
Vancouver, WA 986834004
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $27,883 in 2019
The total amount Medicare approved for these services in 2019. 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, 2019.
Paid by Medicare
About $15,160 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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, 2019.
30-day fills
192 standardized 30-day fills in 2020
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
$909 in 2020
The total cost of these prescriptions in 2020, 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, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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. Marsh 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. Marsh 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 Vancouver and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Marsh are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Marsh are from 2020.
8 active clinicians are listed under General Practice with a practice address in Vancouver, WA (389 in Washington).
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 varied from year to year: 653 in 2017 and 629 in 2019.
- 2017: 653
- 2018: 901
- 2019: 629
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $27,017 in 2017 and $27,883 in 2019.
- 2017: $27,017
- 2018: $39,655
- 2019: $27,883
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Paid by Medicare
Paid by Medicare varied from year to year: $15,759 in 2017 and $15,160 in 2019.
- 2017: $15,759
- 2018: $25,049
- 2019: $15,160
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 977 in 2016 to 69 in 2020.
- 2016: 977
- 2017: 961
- 2018: 1,019
- 2019: 1,117
- 2020: 69
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30-day fills
30-day fills decreased 89% from 1,668 in 2016 to 192 in 2020.
- 2016: 1,668
- 2017: 1,745
- 2018: 2,047
- 2019: 2,363
- 2020: 192
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Part D drug cost
Part D drug cost decreased 96% from $21,640 in 2016 to $909 in 2020.
- 2016: $21,640
- 2017: $15,911
- 2018: $30,524
- 2019: $43,545
- 2020: $909
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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, 2017–2019; 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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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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244 | 185 | $133.00 | $72.67 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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134 | 26 | $7.75 | $1.58 |
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36415
Insertion of needle into vein for collection of blood sample
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82 | 64 | $15.00 | $2.94 |
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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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60 | 56 | $197.68 | $105.49 |
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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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29 | 29 | $197.00 | $103.81 |
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81002
Urinalysis, manual test
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28 | 26 | $19.00 | $3.41 |
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96372
Injection of drug or substance under skin or into muscle
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28 | 24 | $10.00 | $9.29 |
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J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
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24 | 22 | $10.00 | $0.13 |
Source: CMS Part B by Provider and Service, 2019; 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 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 20 | 1,680 | $284.63 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 17 | 1,311 | $353.87 | — |
| Metformin Hcl | Metformin Hcl | 17 | 1,365 | $148.18 | — |
| Lisinopril | Lisinopril | 15 | 1,350 | $121.92 | — |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20100126000683
WA
9436291697
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Doctor of Dental Medicine
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as L. DOUGLAS MARSH, M.D.
General Practice (license number reported to NPPES: WA 31623)
NPI status registered as active in NPPES database
Registered at 406 SE 131ST AVE, SUITE A101, VANCOUVER, WA 986834004 (Tel: 3602532822)
Registered at 4421 NE ST JOHNS RD, VANCOUVER, WA 986612573 (Tel: 3606959922)
Recorded as LOYAL DOUGLAS MARSH, M.D.
Emergency Medicine (license number reported to NPPES: WA 31623)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Vancouver
Healthcare providers in VancouverMailing Address
4421 Ne St Johns Rd
Vancouver, WA 986612573
Phone: 3606959922