Dr. Justin Wayne Douglas, MD

  • Beckley, WV
  • Otolaryngologist
NPI1326210857PAC ID0143353037
Medicare services, 2024
867
Medicare patients, 2024
385
Part D claims, 2024
755
MIPS score, 2024
83
Hospital affiliations
5
Practice address
1256 N Eisenhower Dr, Beckley, WV 25801
Professional email
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Mobile number
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Social profiles

Primary practice

Arh Cardiology Associates-Beckley - HOPD

Acute Care Hospital outpatient department · Beckley, West Virginia

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Dr. Justin Wayne Douglas is an otolaryngologist in Beckley, West Virginia

Dr. Douglas practices at Arh Cardiology Associates-Beckley - HOPD in Beckley, West Virginia.

Dr. Douglas' NPI, 1326210857, was assigned on March 25, 2008. Dr. Douglas graduated from West Virginia University School Of Medicine in 2008. Dr. Douglas holds West Virginia license 23770.

NPI and contact details
Medicare PAC ID
0143353037
NPI enumeration date
March 25, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
44
Medical school graduation
2008

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

Dr. Justin Wayne Douglas practices at Arh Cardiology Associates-Beckley - HOPD in Beckley, West Virginia

Dr. Douglas' primary practice is Arh Cardiology Associates-Beckley - HOPD, at 1256 N Eisenhower Dr, Beckley, WV 25801.

  • Arh Cardiology Associates-Beckley - HOPD
    1256 N Eisenhower Dr, Beckley, WV 25801

Source: Dmand AI Affiliation Data

Dr. Justin Wayne Douglas is affiliated with 8 sites of care and 3 medical groups

Dr. Douglas' primary practice is Arh Cardiology Associates-Beckley - HOPD in Beckley, West Virginia. Dr. Douglas is also affiliated with Raleigh General Hospital. The medical group on file is ARH Pennington Gap Clinic. Dmand AI also links Dr. Douglas to 4 more hospitals, 2 group practices and clinics and 2 medical groups, each named with a free account. Dr. Douglas' employer is on file too: a hospital.

See all 11 affiliations for Dr. Douglas

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Justin Wayne Douglas' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Douglas practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Arh Cardiology Associates-Beckley - HOPDAvailable with a free account
+7 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Justin Wayne Douglas is one of 54 otolaryngologists in West Virginia

Otolaryngology is Dr. Douglas' primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Douglas is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dmand AI has Dr. Douglas' licenses on file in 3 states: West Virginia, Kentucky and Virginia.

Specialties and state licenses

  • Otolaryngology, West VirginiaPrimaryLicense 23770 · 2009 to 2026 · taxonomy 207Y00000X
  • Kentucky licenseLicense 55925 · 2021 to 2026
  • Virginia licenseLicense 0101263258 · 2017 to 2026

Clinical focus

Dmand AI lists chronic nasal allergies, chronic sinusitis, ear eustachian tube disorders, ear infection, endoscopic sinus surgery, hearing loss and impairment, larynx and vocal cord disease and swimmer's ear among the conditions Dr. Douglas treats.

Otolaryngologists near Dr. Douglas

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

54otolaryngologists in West Virginia
2otolaryngologists in Beckley

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

Dr. Justin Wayne Douglas billed Medicare for 867 services in 2024

CMS data shows 867 Medicare services from Dr. Douglas across 10 procedure codes in 2024, for 385 Medicare patients. Medicare paid $41,909 for them.

Medicare services, 2024867
Medicare patients385
Paid by Medicare$41,909
Procedure codes10

Dr. Douglas' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 7022024: 62511%
Surgery
2023: 2322024: 2129%
Imaging
2023: 272024: 3011%

Where Dr. Douglas' Medicare services took place, 2024

  • In an office85398%
  • In a facility142%

Dr. Douglas compared with the West Virginia median for otolaryngologists, 2024

  • Dr. Douglas
  • West Virginia median
Medicare services
867vs 47084% above
Medicare patients
385vs 22670% above
Part D claims
624vs 1773.5 times

Medians across 54 otolaryngologists in West Virginia with Dmand AI profiles that report each measure.

Dr. Douglas' 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.

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

Dr. Justin Wayne Douglas treated 385 Medicare patients in 2024, average age 73

CMS counts 385 Medicare patients who saw Dr. Douglas in 2024. The largest group is 65 to 74, with 176 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 15% are also on Medicaid. Their average risk score is 1.21, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Douglas' median patient age at 62, with 56% women.

Medicare patients, 2024385
Average age73
Average risk score1.21
Also on Medicaid15%

Dr. Douglas' Medicare patients by age, 2024

Dr. Douglas' Medicare patients by sex, 2024

  • Women23461%
  • Men15139%

Chronic conditions among Dr. Douglas' Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis55%
  4. Diabetes36%
  5. Ischemic heart disease35%
  6. Anxiety34%
  7. Mood disorders25%
  8. Depression24%

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

Dr. Douglas' patients across all payers

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

Patient panel by age, all payers

Median age 62

Patient panel by sex, all payers

  • Women56%
  • Men43%

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

Dr. Justin Wayne Douglas wrote 755 Medicare Part D claims in 2024

In 2024, Dr. Douglas wrote 755 Medicare Part D claims for 291 patients. 94% of them were for generic drugs. CMS names the drug for 624 of them, across 14 drugs with 11 or more claims each, at $55,132 in total drug cost. In 2023, CMS named 583 claims across 17 drugs.

Part D claims, 2024755
Drugs named by CMS14
Total drug cost$55,132
Part D patients291

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

  • Generic713 claims94%
  • Brand-name42 claims6%

Dr. Douglas' 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. Douglas' Part D claims, 2024

  • Opioids3%25 of 755 claims
  • Antibiotics6%42 of 755 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: 5832024: 6247%

Drugs named by CMS: 14 in 2024, 17 in 2023.

See all prescribing by Dr. Douglas

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. Justin Wayne Douglas scored 83 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 83 out of 100 for Dr. Douglas for performance year 2024, reported as part of a group. Dr. Douglas accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Douglas' MIPS scores, performance year 2024

  • 83of 100Final score
  • 74of 100Quality
  • 40of 100Improvement Activities
  • 78of 100Cost

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

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

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

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Dr. Justin Wayne Douglas received $5,766 in industry payments from 2016 to 2025

CMS Open Payments shows 182 general payments to Dr. Douglas from 22 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 92% of the total. Acclarent, Inc paid the most, $999.

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

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

$5.8Kin total
  • Food and beverage$5,28592%
  • Travel and lodging$4818%

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

Share is of all general payments to this clinician.

See all payments to Dr. Douglas

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

Dr. Justin Wayne Douglas graduated from West Virginia University School Of Medicine

Dr. Douglas graduated from West Virginia University School Of Medicine in 2008. Dr. Douglas is a member of NHS.

  1. Medical schoolWest Virginia University School Of Medicine
  2. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Justin Wayne Douglas accepts plans from 20 insurance carriers

Dr. Douglas is in network with 20 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • +12 more carriersWith a free account

Plan types Dr. Douglas accepts, by number of carriers

  1. PPO12
  2. Medicare10
  3. HMO7
  4. POS5
  5. EPO4
  6. Medicaid3

Source: Dmand AI Insurance Network Data

Sources for Dr. Justin Wayne Douglas'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 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
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. Justin Wayne Douglas

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. Justin Wayne Douglas' NPI number?

Dr. Justin Wayne Douglas' NPI number is 1326210857. It was assigned on March 25, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Justin Wayne Douglas?

Dr. Justin Wayne Douglas is an otolaryngologist in Beckley, West Virginia. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Justin Wayne Douglas practice?

Dr. Douglas practices at 1256 N Eisenhower Dr, Beckley, WV 25801. Dr. Douglas' primary practice is Arh Cardiology Associates-Beckley - HOPD in Beckley, West Virginia. Dmand AI also links Dr. Douglas to 4 hospitals, 2 group practices and clinics and 2 medical groups.

What is Dr. Justin Wayne Douglas' medical license number?

Dr. Douglas holds West Virginia license 23770, one of the licenses on file in 3 states.

Which states has Dr. Justin Wayne Douglas been licensed in?

Dmand AI has state licenses on file for Dr. Douglas in West Virginia (2009 to 2026), Kentucky (2021 to 2026) and Virginia (2017 to 2026).

Which hospitals is Dr. Justin Wayne Douglas affiliated with?

Dr. Douglas is affiliated with Raleigh General Hospital. Dmand AI links Dr. Douglas to 4 more hospitals.

What medical group is Dr. Justin Wayne Douglas part of?

Dr. Douglas is linked to ARH Pennington Gap Clinic. Dmand AI links Dr. Douglas to 2 more medical groups.

Does Dr. Justin Wayne Douglas accept Medicare?

Yes. CMS data shows Dr. Douglas billed Medicare for 867 services in 2024, and Dr. Douglas accepts Medicare assignment.

What is Dr. Justin Wayne Douglas' MIPS score?

Dr. Douglas' MIPS final score for performance year 2024 is 83 out of 100, reported as part of a group.

How many Medicare patients does Dr. Justin Wayne Douglas see?

CMS counts 385 Medicare patients who saw Dr. Douglas in 2024, with an average age of 73.

Show 7 more questionsShow fewer questions

Is Dr. Justin Wayne Douglas board certified?

Yes. Dr. Douglas is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Justin Wayne Douglas bill to Medicare?

In 2024, Dr. Douglas' most billed Medicare services were office visit, established patient (99213), surgery: ear (69210) and office visit, new patient (99204).

Where did Dr. Justin Wayne Douglas go to medical school?

Dr. Douglas graduated from West Virginia University School Of Medicine in 2008.

What drugs does Dr. Justin Wayne Douglas prescribe most?

In 2024 Medicare Part D data, Dr. Douglas' most prescribed drugs by claims were Famotidine, Azelastine HCl and Fluticasone Propionate.

Has Dr. Justin Wayne Douglas received payments from drug or device companies?

CMS Open Payments shows $5,766 in general payments to Dr. Douglas from 22 companies from 2016 to 2025. The largest total came from Acclarent, Inc.

How long has Dr. Justin Wayne Douglas been practicing?

Dr. Douglas graduated from medical school in 2008, 18 years ago.

What insurance does Dr. Justin Wayne Douglas accept?

Dr. Douglas is in network with 20 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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