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Provider profile

Douglas PugmireDO

Obstetrics & Gynecology, Gynecologic Oncology

NPI 1427003334
1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309248-844-4072

2027 Medicare Advantage

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Medicare Advantage plans for Oakland County, MI.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 90 Medicare Advantage plans we show for Oakland County, MI in 2027

  • 58 list Douglas
  • 32 not listed

Humana

14 plans list Douglas.

14plans

  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-384-000Medicare.gov
    $0a month

  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-052-000Medicare.gov
    $0a month

  • Humana Full Access Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-058-000Medicare.gov
    $0a month

  • Humana Full Access Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-306-000Medicare.gov
    $0a month

Health Alliance Plan by Henry Ford Health

12 plans list Douglas; not listed on 1 other plan.

12plans

  • HAP Medicare Connect (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 511 Pierce St, Birmingham, MI, 48009
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2354-015-000Medicare.gov
    $0a month

  • HAP Medicare Explore (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 511 Pierce St, Birmingham, MI, 48009
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-011-000Medicare.gov
    $0a month

  • HAP Medicare MedicalAccess (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 511 Pierce St, Birmingham, MI, 48009
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH2354-019-000Medicare.gov
    $0a month

  • HAP Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 511 Pierce St, Birmingham, MI, 48009
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-016-000Medicare.gov
    $0a month

Aetna Medicare

7 plans list Douglas.

7plans

  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-286-000Medicare.gov
    $0a month

  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3192-003-000Medicare.gov
    $0a month

  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-214-000Medicare.gov
    $0a month

  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-404-000Medicare.gov
    $0a month

Blue Cross Blue Shield of Michigan

7 plans list Douglas.

7plans

  • Medicare Plus Blue Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-008-000Medicare.gov
    $0a month

  • Medicare Plus Blue Secure (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-009-000Medicare.gov
    $0a month

  • Medicare Plus Blue Essential (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-004-006Medicare.gov
    $40a month

  • Medicare Plus Blue + Meijer (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-007-001Medicare.gov
    $45a month

Zing Health

5 plans list Douglas; not listed on 4 other plans.

5plans

  • Zing Open Choice MI (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 1428 S Lapeer Rd, Lake Orion, MI, 48360

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH6876-001-000Medicare.gov
    $0a month

  • Zing Select Care MI (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 1428 S Lapeer Rd, Lake Orion, MI, 48360

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4624-006-000Medicare.gov
    $0a month

  • Zing Open Choice Diabetes & Heart MI (PPO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 1428 S Lapeer Rd, Lake Orion, MI, 48360

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverage3.5 starsH6876-003-000Medicare.gov
    $0a month

  • Zing Select Diabetes & Heart MI (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 1428 S Lapeer Rd, Lake Orion, MI, 48360

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH4624-012-000Medicare.gov
    $0a month

Blue Care Network

4 plans list Douglas; not listed on 1 other plan.

4plans

  • BCN Advantage Elements (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4.5 starsH5883-017-000Medicare.gov
    $0a month

  • BCN Advantage Prime Value (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-014-005Medicare.gov
    $48a month

  • BCN Advantage Classic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-002-007Medicare.gov
    $158a month

  • BCN Advantage Prestige (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-003-005Medicare.gov
    $282a month

Trinity Health Plan of Michigan

4 plans list Douglas.

4plans

  • Trinity Health Plan of Michigan Cash Back (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-002-000Medicare.gov
    $0a month

  • Trinity Health Plan of Michigan Glory No RX (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage3 starsH9179-003-000Medicare.gov
    $0a month

  • Trinity Health Plan of Michigan No Premium (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-001-000Medicare.gov
    $0a month

  • Trinity Health Plan of Michigan Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1428 S Lapeer Rd, Lake Orion, MI, 48360
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-004-000Medicare.gov
    $69a month

McLaren Medicare

3 plans list Douglas.

3plans

  • McLaren Medicare Inspire (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 1177 S Lapeer Rd, Lapeer, MI, 48446
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-001-000Medicare.gov
    $0a month

  • McLaren Medicare Inspire Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 1177 S Lapeer Rd, Lapeer, MI, 48446
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-008-000Medicare.gov
    $0a month

  • McLaren Medicare Inspire Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309
    • 511 Pierce St, Birmingham, MI, 48009
    • 32686 Woodward Ave, Ste 103, Royal Oak, MI, 48073
    • 1177 S Lapeer Rd, Lapeer, MI, 48446
    • 2900 Collins Rd, Lansing, MI, 48910

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-002-000Medicare.gov
    $20a month

AmeriHealth Caritas VIP Care

1 plan lists Douglas.

1plan

  • AmeriHealth Caritas VIP Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Ste 200, Rochester Hills, MI, 48309

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH6341-002-000Medicare.gov
    $6.30a month

Wellcare

1 plan lists Douglas; not listed on 4 other plans.

1plan

  • Wellcare Meridian Health Dual Liberty (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1901 Star Batt Dr, Rochester Hills, MI, 48309
    • 1428 S Lapeer Rd, Lake Orion, MI, 48360

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH7435-002-000Medicare.gov
    $0a month

Molina Healthcare of Michigan

Not listed on its 1 plan here. That isn't proof they're out of network.

Priority Health Medicare

Not listed on its 10 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Douglas takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Where they practice

Practice location

1901 Star Batt Dr, Suite 200
Rochester Hills, MI 48309

248-844-4072Directions
NPI Registry
NPI issued
2006
Registry record updated
Aug 1, 2017

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Douglas Pugmire?

In Oakland County, MI, 58 Medicare Advantage plans for 2027 list Douglas in provider data from Medicare.gov or the carrier, including Humana Full Access (PPO) and Humana Full Access Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Douglas Pugmire take Humana Medicare Advantage plans?

Humana's own provider directory lists Douglas on 14 Medicare Advantage plans for 2027 in Oakland County, MI, including Humana Full Access (PPO). Confirm with the office or Humana before you enroll.

Does Douglas Pugmire take Health Alliance Plan by Henry Ford Health Medicare Advantage plans?

Medicare.gov provider data lists Douglas on 12 Medicare Advantage plans for 2027 in Oakland County, MI, including HAP Medicare Connect (HMO) and HAP Medicare Explore (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Health Alliance Plan by Henry Ford Health before you enroll.

Does Douglas Pugmire take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Douglas on 7 Medicare Advantage plans for 2027 in Oakland County, MI, including Aetna Medicare Eagle (PPO) and Aetna Medicare Signature (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does Douglas Pugmire practice?

1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309.

How do I confirm Douglas is in my plan's network?

Call the member services number on your plan card and give them the NPI 1427003334, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Douglas Pugmire on 22 plans from Molina Healthcare of Michigan, Priority Health Medicare and UnitedHealthcare in Oakland County, MI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

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Nearby

Danielle KrauseRoyal Oak, MI · Listed on 70 plansChristopher HummelGrand Rapids, MI · Listed on 69 plansShitanshu UppalAnn Arbor, MI · Listed on 67 plansKevin McCoolYpsilanti, MI · Listed on 65 plansMorgan GrunerRoyal Oak, MI · Listed on 64 plansStefany Acosta-TorresAnn Arbor, MI · Listed on 63 plansThomas BuekersNovi, MI · Listed on 63 plansJill GadzinskiRoyal Oak, MI · Listed on 62 plans

See all obstetrics & gynecology, gynecologic oncology providers in MI

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2017-08-01). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Douglas Pugmire or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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