WILLIAM ROY DOHENY MD
NPI 1194741991
Family Medicine in Mooresville, NC

Active since July 14, 2006PECOS Enrolled
89.63/100
CMS Quality Rating
202 WILLIAMSON RD, SUITE 100, MOORESVILLE, NC 28117(704) 799-7811(704) 799-7812 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2020, Oct 18, 2017 (2 updates tracked since 2017).

About William Roy Doheny Md NPPES

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

WILLIAM ROY DOHENY MD (NPI 1194741991) is an individual family medicine provider in Mooresville, North Carolina, licensed in North Carolina (9300455) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194741991
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM ROY DOHENYCredential: MD
Location Address202 WILLIAMSON RD, SUITE 100Mooresville, NC 28117-7610
Mailing Address202 Williamson Rd, Suite 100Mooresville, NC 28117-7610 · (704) 799-7811 · Fax (704) 799-7812
Fax(704) 799-7812
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1194741991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9300455
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
202 WILLIAMSON RD, Mooresville, NC 28117

Other Identifiers 3

OtherF67110NC · Nc Upin
Medicaid890175XNC
Other28816NC · Nc Bcbs

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 (PECOS)

William Roy Doheny Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698854974
PECOS Enrollment IDI20080512000581
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 15

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.

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.
378 services234 patients
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.
269 services177 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.
200 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
179 services179 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
151 services127 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
107 services102 patients

Hospital Affiliations CMS Care Compare 3

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340129
Location171 Fairview RoadMooresville, NC 28117 · Iredell County
Emergency services

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%237 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%591 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
38%175 patients2/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
50%931 patients3/55-star benchmark: 88%
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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers32 claims69 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims14 services$1.00 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$4.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$71.53 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims1,947 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers20 claims1,470 services$0.09 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 5

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

Dentist (Endodontics)
202 WILLIAMSON RD, SUITE 202
MOORESVILLE, NC 28117
Dentist (Pediatric Dentistry)
202 WILLIAMSON RD, SUITE 200
MOORESVILLE, NC 28117
Orthopaedic Surgery
202 WILLIAMSON RD, SUITE 100
MOORESVILLE, NC 28117
Dentist (Pediatric Dentistry)
202 WILLIAMSON RD, SUITE 200
MOORESVILLE, NC 28117
Family Medicine
202 WILLIAMSON RD, SUITE 100
MOORESVILLE, NC 28117

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 William Doheny's NPI number?

The NPI number for William Doheny is 1194741991. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is William Doheny located?

William Doheny practices at 202 Williamson Rd Suite 100, Mooresville, NC 28117. The listed phone number is (704) 799-7811.

What is William Doheny's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Doheny enrolled in Medicare?

Yes. William Doheny is registered in the Medicare PECOS enrollment system.

What insurance does William Doheny accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list William Doheny 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 William Doheny affiliated with any hospitals?

According to CMS data, William Doheny is affiliated with Iredell Memorial Hospital Inc, Lake Norman Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for William Doheny was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.