Mary Kathryn Douglas, PAC
NPI 1114928637ActiveIndividual· Physician Assistant, Medical· Traverse City, MI
Physician Assistant, Medical (PAC) with Munson Medical Center and 1 other group, practicing in Traverse City, Michigan. 208 Medicare patients in 2024, $15,358 paid; nearly all of their 579 Part D prescriptions were generic (92%). Abbvie Inc. reported $40.71 in payments in 2024, mostly food and beverage. Lists Munson Medical Center as a hospital affiliation.
Overview
| NPI | 1114928637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Jan 27, 2025 |
| Certified by provider | Jan 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | MD003850 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 208 |
|---|---|
| Services billed | 376 across 49 procedure codes |
| Paid by Medicare | $15,358 |
Part D prescriptions in 2024
| Prescriptions (claims) | 579 · 858 30-day fills |
|---|---|
| Patients | 346 |
| Total drug cost | $20,129 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Munson Medical CenterTraverse City, MI · 384 clinicians
- True North Medical PCTraverse City, MI · 14 clinicians
Hospital affiliation
- Munson Medical CenterTraverse City, MI
Industry payments (Open Payments)
- 2024$40.71 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $40.71 | 2 |
What the 2024 payments were for
- Food and Beverage$40.71 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 30 physician assistants in Traverse City · All physician assistants in Michigan