DR. DOUGLAS MALCOM MIDDLETON M.D.
NPI 1427138791
Emergency Medicine in San Diego, CA
NPI Status: Active since October 17, 2006
Contact Information
10243 GENETIC CENTER DR
SAN DIEGO, CA
ZIP 92121
Phone: (619) 446-1861
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About DOUGLAS MIDDLETON
This page provides the complete NPI Profile along with additional information for Douglas Middleton, a provider established in San Diego, California with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1427138791 assigned on October 2006. The practitioner's primary taxonomy code is 207P00000X with license number C39843 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1427138791
- Provider Name
- DR. DOUGLAS MALCOM MIDDLETON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10243 GENETIC CENTER DR SAN DIEGO, CA 92121
- Location Phone
- (619) 446-1861
- Mailing Address
- 10243 GENETIC CENTER DR SAN DIEGO, CA 92121
- Mailing Phone
- (619) 446-1861
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2006
- Last Update Date
- 10-15-2020
- Code Navigator
Location Map
Secondary Locations
- 1601 W 11th Pl
Big Spring, TX 79720
(800) 893-9698
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C39843
- License State
- CA
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | MD2005-0086 (NM) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | F6954 (TX) |
Medicare Participation & PECOS Enrollment Status
Douglas Middleton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92121 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.87
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $23.71
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.42
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $27.1
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 3 | 8 | 7 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 3 | 16 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 3 + 1 + 6 + 7 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1427138791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063464022 | MS. SILVA PROFETA TOLEDO PA-C Individual | Physician Assistant (Medical) | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6100 |
| 1427022094 | DR. BHAKTI DHIRSINH TANTOD M.D. Individual | Family Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2600 |
| 1609848316 | DR. DOUGLAS FRANK BREWSTER M.D. Individual | Otolaryngology (Pediatric Otolaryngology) | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6136 |
| 1144295171 | DR. LYDIA MARCELLA TONANTZIN TORRES O.D. Individual | Ophthalmology | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6072 |
| 1366410912 | DENNIS CHAN M.D. Individual | Emergency Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6100 |
| 1225046196 | DR. DAVID A. CLARK M.D. Individual | Emergency Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2777 |
| 1831107952 | DR. WILLIAM D. CHRISTIANSEN M.D. Individual | Emergency Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6100 |
| 1215947379 | ZDENKA FRONEK M.D. Individual | Internal Medicine (Rheumatology) | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6145 |
| 1972516763 | DR. EDWARD W SANFORD III D.O. Individual | Internal Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2600 |
| 1376556233 | DR. DEBRA A QUICK O.D. Individual | Ophthalmology | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6072 |
| 1376556134 | DR. ANTHONY H SACKS M.D. Individual | Family Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2600 |
| 1033122833 | DR. SCOTT A RIEDLER M.D. Individual | Psychiatry & Neurology (Neurology) | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6145 |
| 1326152968 | DR. CYRIL S LIGHT M.D. Individual | Family Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2600 |
| 1043328503 | RONALD T. BENZ M.D. Individual | Otolaryngology | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6136 |
| 1336259290 | DR. PETER DIETZE JR. MD Individual | Obstetrics & Gynecology | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2702 |
| 1972614964 | DR. ALBANA SMURLO M.D. Individual | Family Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 499-2600 |
| 1528179058 | DR. WILLIAM H WAGGONER M.D. Individual | General Practice | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6100 |
| 1245341882 | DR. CAROLINE M THORNTON M.D. Individual | Dermatology | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6175 |
| 1740391382 | DR. KAREN E TIPLER M.D. Individual | Family Medicine | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6100 |
| 1235240847 | DR. DAVID JOHN TERRY DPM Individual | Podiatrist | 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 (858) 526-6147 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427138791, enumerated in the NPI registry as an "individual" on October 17, 2006
The provider is located at 10243 Genetic Center Dr San Diego, Ca 92121 and the phone number is (619) 446-1861
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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