Dr. Douglas Robert Fletcher, MD

  • Middletown, NY
  • Pulmonologist
NPI1740236090PAC ID9638180391
Medicare services, 2024
3,057
Medicare patients, 2024
390
Part D claims, 2024
2,410
MIPS score, 2024
90
Hospital affiliations
2
Practice address
111 Maltese Dr, Middletown, NY 10940
Practice phone
Call (845) 342-4774
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Middletown Medical Urgent Care

Urgent Care Center · Middletown, New York

See all 6 affiliations

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Dr. Douglas Robert Fletcher is a pulmonologist in Middletown, New York

Dr. Fletcher practices at Middletown Medical Urgent Care in Middletown, New York.

Dr. Fletcher's NPI, 1740236090, was assigned on May 26, 2006. Dr. Fletcher graduated from Renaissance School of Medicine at Stony Brook University in 1986. Dr. Fletcher holds New York license 177652 1.

NPI and contact details
Medicare PAC ID
9638180391
NPI enumeration date
May 26, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(845) 342-4774
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
66
Medical school graduation
1986

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Douglas Robert Fletcher practices at Middletown Medical Urgent Care in Middletown, New York

Dr. Fletcher's primary practice is Middletown Medical Urgent Care, at 111 Maltese Dr, Middletown, NY 10940. The practice phone is (845) 342-4774.

  • Middletown Medical Urgent Care
    111 Maltese Dr, Middletown, NY 10940Phone(845) 342-4774

Source: Dmand AI Affiliation Data

Dr. Douglas Robert Fletcher is affiliated with 4 sites of care and 2 medical groups

Dr. Fletcher's primary practice is Middletown Medical Urgent Care in Middletown, New York. Dr. Fletcher is also affiliated with Garnet Health Medical Center. The medical group on file is Middletown Medical. Dmand AI also links Dr. Fletcher to 1 more hospital, 1 group practice or clinic and 1 medical group, each named with a free account. Dr. Fletcher's employer is on file too: an urgent care center.

See all 6 affiliations for Dr. Fletcher

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Douglas Robert Fletcher's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fletcher practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Middletown Medical Urgent CareAvailable with a free account
+3 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Douglas Robert Fletcher is one of 1,056 pulmonologists in New York

Pulmonary disease is Dr. Fletcher's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Fletcher is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Dr. Fletcher's licenses on file in 5 states: New York, Virginia, Connecticut, Pennsylvania and South Carolina.

Specialties and state licenses

  • Pulmonary disease, New YorkPrimaryLicense 177652 1 · 1989 to 2027 · taxonomy 207RP1001X
  • Virginia license2011 to 2026
  • Connecticut license2014 to 2025
  • Pennsylvania license2011 to 2022
  • South Carolina license2016 to 2019

Clinical focus

Dmand AI lists acute sinusitis, asthma, bronchitis, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, hypersomnia, pneumonia and pulmonary fibrosis among the conditions Dr. Fletcher treats.

Pulmonologists near Dr. Fletcher

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Douglas Robert Fletcher billed Medicare for 3,057 services in 2024

CMS data shows 3,057 Medicare services from Dr. Fletcher across 24 procedure codes in 2024, for 390 Medicare patients. Medicare paid $149,087 for them.

Medicare services, 20243,057
Medicare patients390
Paid by Medicare$149,087
Procedure codes24

Dr. Fletcher's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,1012024: 1,0772%
Other services
2023: 112024: 8857945%
Tests and treatments
2023: 4182024: 45810%
Lab and pathology
2023: 3082024: 3307%
Imaging
2023: 1192024: 15934%
Surgery
2023: 1372024: 1488%

Where Dr. Fletcher's Medicare services took place, 2024

  • In an office2,96897%
  • In a facility893%

Dr. Fletcher compared with the New York median for pulmonologists, 2024

  • Dr. Fletcher
  • New York median
Medicare services
3,057vs 6764.5 times
Medicare patients
390vs 27044% above
Part D claims
2,000vs 6443.1 times

Medians across 1,044 pulmonologists in New York with Dmand AI profiles that report each measure.

Dr. Fletcher's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Fletcher

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Douglas Robert Fletcher treated 390 Medicare patients in 2024, average age 73

CMS counts 390 Medicare patients who saw Dr. Fletcher in 2024. The largest group is 65 to 74, with 184 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 18% are also on Medicaid. Their average risk score is 1.50, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Fletcher's median patient age at 60, with 48% women.

Medicare patients, 2024390
Average age73
Average risk score1.50
Also on Medicaid18%

Dr. Fletcher's Medicare patients by age, 2024

Dr. Fletcher's Medicare patients by sex, 2024

  • Women20152%
  • Men18948%

Chronic conditions among Dr. Fletcher's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis52%
  4. Ischemic heart disease47%
  5. COPD45%
  6. Diabetes42%
  7. Asthma30%
  8. Anxiety27%

Share of Medicare patients with each condition. A patient can have several.

Dr. Fletcher's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 60

Patient panel by sex, all payers

  • Women48%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Douglas Robert Fletcher wrote 2,410 Medicare Part D claims in 2024

In 2024, Dr. Fletcher wrote 2,410 Medicare Part D claims for 312 patients. 72% of them were for generic drugs. CMS names the drug for 2,000 of them, across 43 drugs with 11 or more claims each, at $450,946 in total drug cost. In 2023, CMS named 2,027 claims across 50 drugs.

Part D claims, 20242,410
Drugs named by CMS43
Total drug cost$450,946
Part D patients312

Dr. Fletcher's Part D claims by kind of drug, 2024

  • Generic1,743 claims72%
  • Brand-name667 claims28%

Dr. Fletcher's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Fletcher's Part D claims, 2024

  • Opioids3%71 of 2,410 claims
  • Antibiotics6%148 of 2,410 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,0272024: 2,0001%

Drugs named by CMS: 43 in 2024, 50 in 2023.

See all prescribing by Dr. Fletcher

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Douglas Robert Fletcher scored 90 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 90 out of 100 for Dr. Fletcher for performance year 2024, reported as part of a group. Dr. Fletcher accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Fletcher as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Fletcher's MIPS scores, performance year 2024

  • 90of 100Final score
  • 83.4of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 76of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Douglas Robert Fletcher received $11,536 in industry payments from 2016 to 2025

CMS Open Payments shows 675 general payments to Dr. Fletcher from 45 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 97% of the total. GlaxoSmithKline, LLC. paid the most, $2,220.

General payments to Dr. Fletcher by program year, 2016 to 2025

General payments to Dr. Fletcher by kind, 2016 to 2025

$11.5Kin total
  • Food and beverage$11,20197%
  • Education$3353%

Companies that paid Dr. Fletcher the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Fletcher

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Douglas Robert Fletcher has 1 award and honors on record

Dmand AI lists 1 award for Dr. Fletcher, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Fletcher

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Douglas Robert Fletcher graduated from Renaissance School of Medicine at Stony Brook University

Dr. Fletcher graduated from Renaissance School of Medicine at Stony Brook University in 1986. Dr. Fletcher is a member of SHM.

  1. Medical schoolRenaissance School of Medicine at Stony Brook University
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in sleep medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Douglas Robert Fletcher accepts plans from 14 insurance carriers

Dr. Fletcher is in network with 14 carriers, including Elevance, Aetna and MVP Health Care. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Elevance
  • Aetna
  • MVP Health Care
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Humana
  • +6 more carriersWith a free account

Plan types Dr. Fletcher accepts, by number of carriers

  1. Medicare10
  2. PPO9
  3. HMO6
  4. POS6
  5. EPO4
  6. Medicaid4

Source: Dmand AI Insurance Network Data

Sources for Dr. Douglas Robert Fletcher's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Douglas Robert Fletcher

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Douglas Robert Fletcher's NPI number?

Dr. Douglas Robert Fletcher's NPI number is 1740236090. It was assigned on May 26, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Douglas Robert Fletcher?

Dr. Douglas Robert Fletcher is a pulmonologist in Middletown, New York. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. Douglas Robert Fletcher practice?

Dr. Fletcher practices at 111 Maltese Dr, Middletown, NY 10940. Dr. Fletcher's primary practice is Middletown Medical Urgent Care in Middletown, New York. Dmand AI also links Dr. Fletcher to 1 hospital, 1 group practice or clinic and 1 medical group.

What is Dr. Douglas Robert Fletcher's office phone number?

The practice phone on file for Dr. Fletcher is (845) 342-4774.

What is Dr. Douglas Robert Fletcher's medical license number?

Dr. Fletcher holds New York license 177652 1, one of the licenses on file in 5 states.

Which states has Dr. Douglas Robert Fletcher been licensed in?

Dmand AI has state licenses on file for Dr. Fletcher in New York (1989 to 2027), Virginia (2011 to 2026), Connecticut (2014 to 2025), Pennsylvania (2011 to 2022) and South Carolina (2016 to 2019).

Which hospitals is Dr. Douglas Robert Fletcher affiliated with?

Dr. Fletcher is affiliated with Garnet Health Medical Center. Dmand AI links Dr. Fletcher to 1 more hospital.

What medical group is Dr. Douglas Robert Fletcher part of?

Dr. Fletcher is linked to Middletown Medical. Dmand AI links Dr. Fletcher to 1 more medical group.

Does Dr. Douglas Robert Fletcher accept Medicare?

Yes. CMS data shows Dr. Fletcher billed Medicare for 3,057 services in 2024, and Dr. Fletcher accepts Medicare assignment.

Does Dr. Douglas Robert Fletcher offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Fletcher as offering telehealth services.

Show 9 more questionsShow fewer questions

What is Dr. Douglas Robert Fletcher's MIPS score?

Dr. Fletcher's MIPS final score for performance year 2024 is 90 out of 100, reported as part of a group.

How many Medicare patients does Dr. Douglas Robert Fletcher see?

CMS counts 390 Medicare patients who saw Dr. Fletcher in 2024, with an average age of 73.

Is Dr. Douglas Robert Fletcher board certified?

Yes. Dr. Fletcher is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Dr. Douglas Robert Fletcher bill to Medicare?

In 2024, Dr. Fletcher's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and office visit, established patient (99213).

Where did Dr. Douglas Robert Fletcher go to medical school?

Dr. Fletcher graduated from Renaissance School of Medicine at Stony Brook University in 1986.

What drugs does Dr. Douglas Robert Fletcher prescribe most?

In 2024 Medicare Part D data, Dr. Fletcher's most prescribed drugs by claims were Prednisone, Ipratropium Bromide and Albuterol Sulfate Hfa.

Has Dr. Douglas Robert Fletcher received payments from drug or device companies?

CMS Open Payments shows $11,536 in general payments to Dr. Fletcher from 45 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.

How long has Dr. Douglas Robert Fletcher been practicing?

Dr. Fletcher graduated from medical school in 1986, 40 years ago.

What insurance does Dr. Douglas Robert Fletcher accept?

Dr. Fletcher is in network with 14 carriers, including Elevance, Aetna and MVP Health Care. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

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