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Data sources: NPPES · PECOS · Colorado DORA · OIG LEIE · SAM.gov · CMS Care Compare · Medicare Utilization · FHIR · Carrier Transparency in Coverage Filings

All findings derived exclusively from publicly available federal and state datasets.

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DOUGLAS MORGAN

NPI 1477630002 · Internal Medicine · Anthem

Provider Status Assessment
Verified Active

Strong multi-source corroboration of active practice across 8 carrier networks with confirmed Colorado DORA license.

Confidence: High
Evidence: 9373 items from 15 sources
Signals: 7 supporting · 0 opposing
Resolution: All evidence sources corroborate active practice. 7 supporting signals with no contradictions across 8 evaluated sources.

Data Source Signals

✓

NPPES

BOULDER, 80303

Freshness: Unknown

✓

Network Status

Listed with 9 carriers

  • anthem_co — in_network (commercial)
  • anthem_co — in_network (commercial)
  • uhc_services_co — in_network (commercial)
  • uhc_colorado_co — in_network (commercial)
  • uhc_insurance_co — in_network (commercial)
  • uhc_umr_co — in_network (commercial)
  • uhc_surest_co — in_network (commercial)
  • kpic_co — in_network (commercial)
  • kaiser_co — in_network (commercial)
✓

DORA License

Active

✓

Medicare

579 services

279 beneficiaries

$52,447.32 total payment

Specialty: Internal Medicine

✗

Care Compare

Address mismatch with NPPES

  • BOULDER, 80301
  • BOULDER, 80303
✓

System Reasoning

Claim Under Evaluation
Provider is actively practicing and appropriately listed in carrier networks
Evidence Evaluated
FHIR Directory: No active FHIR endpoint despite carrier listings
NPPES Registry: Active NPI, registered in BOULDER
Colorado DORA License: License status: Active
Medicare Billing: 579 services, 279 beneficiaries
PECOS Enrollment: Medicare enrollment confirmed
Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)
Carrier Networks: Listed in 9 carrier networks
CMS Care Compare: Found in Care Compare with 2 locations
Trust Evaluation
identity:0.75Strong
licensure:0.90Strong
activity:1.00

Dimension Scores

Composite0.86
Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network1.00 — Strong

Listed in multiple carrier networks

Why is this provider classified as “verified active”?
Strong multi-source corroboration of active practice. All dimensions above 0.55 with evidence depth ≥ 5. Active license confirmed.

Carrier Network Listings

8 networks across 3 carriers

Strong network presence across 8 carrier networks with corroborating federal activity signals.

Anthem(1 network)
1 DOI 6C-3
Anthem Blue Cross Blue ShieldDOI 6C-3
View carrier →
UnitedHealthcare(5 networks)
1 DOI 6C-34 Federal TiC
UnitedHealthcare ServicesFederal TiC
View carrier →
UnitedHealthcare of ColoradoDOI 6C-3
View carrier →
UnitedHealthcare InsuranceFederal TiC
View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Internal Medicine providers statewideView →All providers in BOULDER 80303View →All providers classified as Verified ActiveView →

Known Addresses

NPPESBOULDER, 80303
Care CompareBOULDER, 80301
Care CompareBOULDER, 80303

Evidence

Loading evidence lineage...

Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.

PECOS Enrollment

Medicare enrolled

Order/Referring eligible: Yes

Strong
reachability:0.60Moderate
network:1.00Strong
System Determination
Verified Active
Composite score: 0.858
Strong multi-source corroboration of active practice across 8 carrier networks with confirmed Colorado DORA license.
UnitedHealthcare UMRFederal TiC
View carrier →
UnitedHealthcare SurestFederal TiC
View carrier →
Kaiser Permanente(2 networks)
2 DOI 6C-3
Kaiser Permanente Insurance CoDOI 6C-3
View carrier →
Kaiser PermanenteDOI 6C-3
View carrier →

Evidence

9373 items across 23 assertions from 15 sources

Connected Records

Colorado License
Expired
DORA
Practice Address
BOULDER, 80303
cms_care_compare, NPPES
Carrier Network Listing
Listed in 8 carrier networks
TiC: Anthem Blue Cross Blue Shield, TiC: UnitedHealthcare Services, TiC: UnitedHealthcare Insurance, TiC: UnitedHealthcare (UMR), TiC: UnitedHealthcare Colorado, TiC: UnitedHealthcare (Surest), TiC: Kaiser Permanente Insurance Company, TiC: Kaiser Permanente
NPI Registration
Status: active
NPPES Deactivation
Order/Referring Eligibility
Record found
cms_order_refer
Medicare Enrollment
Enrolled
PECOS
Medicare Billing
579 services
cms_medicare
entity_type
Record found
NPPES
Federal Exclusion Check
No exclusion found
OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80
↓TiC: Anthem Blue Cross Blue Shield9305 records ·weight 0.80 · Latest: Mar 14, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Anthem Blue Cross Blue Shield10 records ·weight 0.80 · Latest: Mar 14, 2026
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield
Mar 13, 2026DORA license check: Expired
Mar 13, 2026DORA license check: Active
Mar 13, 2026DORA license check: Cancelled
Mar 12, 2026Carrier listing: UnitedHealthcare Services
Mar 12, 2026Carrier listing: UnitedHealthcare Insurance
Mar 12, 2026NPPES record: active
Mar 12, 2026Carrier listing: UnitedHealthcare (UMR)
Mar 12, 2026Carrier listing: UnitedHealthcare Colorado
Mar 11, 2026Carrier listing: UnitedHealthcare (Surest)
Mar 11, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORA5 records ·weight 0.98 · Latest: Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORA5 records ·weight 0.98 · Latest: Mar 6, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026
Matched via: license_number
Carrier Network ListingTrust: 0.80
↓TiC: UnitedHealthcare Services6 records ·weight 0.80 · Latest: Mar 12, 2026
Carrier Network ListingTrust: 0.80
↓TiC: UnitedHealthcare Insurance4 records ·weight 0.80 · Latest: Mar 12, 2026
NPI Registration StatusTrust: 0.90
↓NPPES Deactivationweight 0.85 · Mar 12, 2026
Carrier Network ListingTrust: 0.80
↓TiC: UnitedHealthcare (UMR)17 records ·weight 0.80 · Latest: Mar 12, 2026
Carrier Network ListingTrust: 0.80
↓TiC: UnitedHealthcare Colorado2 records ·weight 0.80 · Latest: Mar 12, 2026
Carrier Network ListingTrust: 0.80
↓TiC: UnitedHealthcare (Surest)3 records ·weight 0.80 · Latest: Mar 11, 2026
Order/Referring EligibilityTrust: 0.95
↓cms_order_referweight 0.95 · Mar 11, 2026
Medicare EnrollmentTrust: 0.95
↓PECOSweight 0.95 · Mar 11, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Kaiser Permanente Insurance Company2 records ·weight 0.80 · Latest: Mar 11, 2026
Practice LocationTrust: 0.85
↓cms_care_compareweight 0.80 · Mar 6, 2026
↓NPPESweight 0.85 · Mar 5, 2026
Practice LocationTrust: 0.80
↓cms_care_compareweight 0.80 · Mar 6, 2026
Medicare Billing ActivityTrust: 0.90
↓cms_medicareweight 0.85 · Mar 6, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Kaiser Permanenteweight 0.80 · Mar 5, 2026
Provider SpecialtyTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
entity_typeTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
Order/Referring Eligibility: record found
Mar 11, 2026Medicare enrollment: Approved
Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company
Mar 6, 2026Practice address: BOULDER, 80303
Mar 6, 2026Practice address: BOULDER, 80301
Mar 6, 2026Medicare billing: 579 services
Mar 5, 2026Carrier listing: Kaiser Permanente
Mar 5, 2026Provider Specialty: record found
Mar 5, 2026Practice address: BOULDER, 80303
Mar 5, 2026entity_type: record found