KATHLEEN BRIDGET DOUGHNEY MD
NPI 1093729287
Internal Medicine - Medical Oncology in Ormond Beach, FL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
325 CLYDE MORRIS BLVD STE 450, FLORIDA CANCER SPECIALISTS P L, ORMOND BEACH, FL 32174(386) 673-2442(386) 673-4884 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, May 2, 2022, Nov 8, 2021 and 1 more (4 updates tracked since 2020).

About Kathleen Bridget Doughney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BRIDGET DOUGHNEY MD (NPI 1093729287) is an individual medical oncology provider in Ormond Beach, Florida, licensed in Florida (ME50682) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of University Of Alabama School Of Medicine (1980).

NPPES Registry Identity

NPI1093729287
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameKATHLEEN BRIDGET DOUGHNEYCredential: MD
Location Address325 CLYDE MORRIS BLVD STE 450, FLORIDA CANCER SPECIALISTS P LOrmond Beach, FL 32174-8179
Mailing AddressPo Box 102222, Attn: CredentialingAtlanta, GA 30368-2222 · (239) 274-8200 · Fax (239) 278-3350
Fax(386) 673-4884
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 3, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1093729287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in FL · ME50682
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME50682 (FL)
325 CLYDE MORRIS BLVD STE 450, Ormond Beach, FL 32174

Other Identifiers 1

Medicaid047499100FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Bridget Doughney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547156143
PECOS Enrollment IDI20040223000442
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 36

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
27,540 services36 patients
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
9,000 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,760 services24 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
1,340 services12 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,331 services561 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,283 services561 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,685 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%65 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%193 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%818 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%818 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%818 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims962 services$0.80 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
325 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL 32174
Internal Medicine (Medical Oncology)
325 CLYDE MORRIS BLVD STE 450, FLORIDA CANCER SPECIALISTS P L
ORMOND BEACH, FL 32174
Internal Medicine (Medical Oncology)
325 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL 32174
Nurse Practitioner (Family)
325 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL 32174
Clinical Nurse Specialist (Oncology)
325 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL 32174
Nurse Practitioner (Family)
325 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL 32174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Doughney's NPI number?

The NPI number for Kathleen Doughney is 1093729287. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kathleen Doughney located?

Kathleen Doughney practices at 325 Clyde Morris Blvd Ste 450 Florida Cancer Specialists P L, Ormond Beach, FL 32174. The listed phone number is (386) 673-2442.

What is Kathleen Doughney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kathleen Doughney enrolled in Medicare?

Yes. Kathleen Doughney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Doughney accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Kathleen Doughney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Doughney affiliated with any hospitals?

According to CMS data, Kathleen Doughney is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Daytona Beach and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Kathleen Doughney was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.