KARA MCGILTON DOUGHERTY NP
NPI 1134100217
Nurse Practitioner - Family in Wheeling, WV

Q: What is Kara Dougherty's NPI number?

The NPI number for Kara Dougherty is 1134100217. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Kara Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kara Dougherty was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

58 16TH ST, 3RD FLOOR, WHEELING, WV 26003(304) 232-5725(304) 233-0698 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2022, Jan 11, 2021 (2 updates tracked since 2021).

On this page

About Kara Mcgilton Dougherty Np NPPES

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

KARA MCGILTON DOUGHERTY NP (NPI 1134100217) is an individual family provider in Wheeling, West Virginia, licensed in West Virginia (54116) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1134100217

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKARA MCGILTON DOUGHERTYCredential: NP

Location Address58 16TH ST, 3RD FLOORWheeling, WV 26003-3660

Mailing Address176 Garvins LnWheeling, WV 26003-1214 · (304) 242-4890

Phone(304) 232-5725

Fax(304) 233-0698

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 7, 2005

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1134100217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · 54116

58 16TH ST, Wheeling, WV 26003

Open in Google Maps ↗

Other Identifiers 1

Medicaid3810002288WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kara Mcgilton Dougherty Np 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 ID3375598766

PECOS Enrollment IDI20050318000200

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

261 services207 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

92 services88 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510013

Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

JULIE SUZANNE BUNNER MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 243-6410

MARNIE J MARKER M.D.

Internal Medicine (Nephrology)

58 16TH ST, SUITE 500
WHEELING, WV 26003

Ohio County (304) 234-1751

GARY A GANZER M.D.

Dermatology (Procedural Dermatology)

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 234-1985

KATARZYNA A PRZYSZLAK MD

Family Medicine

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 234-2004

MRS. KASI LYN ROGERS RN

Nurse Practitioner (Primary Care)

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 234-2000

KOURTNEY BELL KING MD

Internal Medicine (Pulmonary Disease)

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 234-1935

LISA C HILL MD

Nurse Practitioner (Adult Health)

58 16TH ST
WHEELING, WV 26003

Ohio County (304) 233-8788

MS. RENEE BRONGO N.P.

Nurse Practitioner (Family)

58 16TH ST, WHEELING CLINIC
WHEELING, WV 26003

Ohio County (304) 233-8788

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 Kara Dougherty's NPI number?

The NPI number for Kara Dougherty is 1134100217. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Kara Dougherty located?

Kara Dougherty practices at 58 16th St 3rd Floor, Wheeling, WV 26003. The listed phone number is (304) 232-5725.

What is Kara Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kara Dougherty enrolled in Medicare?

Yes. Kara Dougherty 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 Kara Dougherty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kara Dougherty 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 Kara Dougherty affiliated with any hospitals?

According to CMS data, Kara Dougherty is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kara Dougherty was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.