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ELIZABETH S. DOUGHTY MD, PHD
NPI 1245792761
Pathology - Anatomic Pathology in Salt Lake City, UT

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2024, Mar 3, 2023, Apr 3, 2019 (3 updates tracked since 2019).

About Elizabeth S. Doughty Md, Phd NPPES

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

ELIZABETH S. DOUGHTY MD, PHD (NPI 1245792761) is an individual anatomic pathology provider in Salt Lake City, Utah, licensed in Utah (13099794-1205) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2019).

NPPES Registry Identity

NPI1245792761
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameELIZABETH S. DOUGHTYCredential: MD, PHD
Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1245792761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in UT · 13099794-1205
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X · License 13099794-1205 (UT)
15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth S. Doughty Md, Phd 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 ID1456694520
PECOS Enrollment IDI20240502001853
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Doughty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
Same address
Anesthesiology
30 N 1900 E, 3C 444
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1720482599 (801) 587-6336
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

JOHN M. DAINES MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
GANNA SHESTAKOVA M.D. PH.D.
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 583-2787
KASEY DONEY DO
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
KATE HELENA PARKINSON MD
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
LUKE ANTHONY VAN GORP MD
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ALEXANDER SCOTT LOKKEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
CHANCE A. WALKER MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
LINDSEY J. PERRY IV MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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 Elizabeth Doughty's NPI number?

The NPI number for Elizabeth Doughty is 1245792761. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Elizabeth Doughty located?

Elizabeth Doughty practices at 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Elizabeth Doughty's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Elizabeth Doughty enrolled in Medicare?

Yes. Elizabeth Doughty 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.

Which organizations bill Medicare for Elizabeth Doughty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Doughty reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Doughty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Doughty was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.