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MICHAEL J MACDOUGALL MD
NPI 1306921184
Surgery in Mechanicsville, VA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
8262 ATLEE RD, SUITE 205, MECHANICSVILLE, VA 23116(804) 559-0194(804) 559-0198 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael J Macdougall Md NPPES

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

MICHAEL J MACDOUGALL MD (NPI 1306921184) is an individual surgery provider in Mechanicsville, Virginia, licensed in Virginia (0101057303) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Duke University School Of Medicine (1993).

NPPES Registry Identity

NPI1306921184
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL J MACDOUGALLCredential: MD
Location Address8262 ATLEE RD, SUITE 205Mechanicsville, VA 23116-1816
Mailing Address8262 Atlee Rd, Suite 205Mechanicsville, VA 23116-1816 · (804) 559-0194 · Fax (804) 559-0198
Phone(804) 559-0194
Fax(804) 559-0198
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1993
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 4, 2009
✔ NPI 1306921184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101057303
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8262 ATLEE RD, Mechanicsville, VA 23116
Open in Google Maps ↗

Other Identifiers 4

Other020038885VA · Railroad Medicare Id
Medicare UPING68552
Medicare ID-Type Unspecified020001284
OtherC06115VA · Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Michael J Macdougall 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 ID9537340914
PECOS Enrollment IDI20110217000426
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 Reassignment

Medicare enrollment records show Michael Macdougall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Secours Medical Group Richmond Specialty Care LLC
3.0 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573

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

Areas of Expertise CMS Part B claims 11

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 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.
173 services132 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.
95 services84 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.
92 services92 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Rappahannock General Hospital

Critical Access Hospitals · Kilmarnock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491308
Location101 Harris RoadKilmarnock, VA 22482 · Lancaster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23116 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
25%206 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%331 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
51%324 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
52%192 patients3/55-star benchmark: 98%
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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers16 claims63 services$29.14 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
2 suppliers11 claims18 services$266.82 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 12

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

MR. DONALD RICHARD STRAUB PA-C
Physician Assistant
8262 ATLEE RD, MOB III SUITE 205
MECHANICSVILLE, VA 23116
Hanover County (804) 559-0194
SYED MUBASHIR ALI SHAH M.D.
Internal Medicine (Gastroenterology)
8262 ATLEE RD, SUITE 202
MECHANICSVILLE, VA 23116
Hanover County (804) 559-6194
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Psychiatry & Neurology (Neurology)
8262 ATLEE RD, SUITE 201
MECHANICSVILLE, VA 23116
Hanover County (804) 325-8720
DR. RAY F. KEATE M.D.
Specialist
8262 ATLEE RD, SUITE 202
MECHANICSVILLE, VA 23116
Hanover County (804) 559-6194
SHANNON HOLBERTON TOWNSEND P.A.
Physician Assistant (Medical)
8262 ATLEE RD, SUITE 202
MECHANICSVILLE, VA 23116
Hanover County (804) 559-6194
WAQAS SOHAIL MD
Psychiatry & Neurology (Neurology)
8262 ATLEE RD, SUITE 201
MECHANICSVILLE, VA 23116
Hanover County (804) 325-8720
DR. DAVID JOHN DOUGHERTY M.D.
Surgery
8262 ATLEE RD, MOB III, SUITE 205
MECHANICSVILLE, VA 23116
Hanover County (804) 559-0194
MARK D WOOD MD
Surgery
8262 ATLEE RD, SUITE 205
MECHANICSVILLE, VA 23116
Hanover County (804) 559-0194

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 Michael Macdougall's NPI number?

The NPI number for Michael Macdougall is 1306921184. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Michael Macdougall located?

Michael Macdougall practices at 8262 Atlee Rd Suite 205, Mechanicsville, VA 23116. The listed phone number is (804) 559-0194.

What is Michael Macdougall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Macdougall enrolled in Medicare?

Yes. Michael Macdougall 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 organization bills Medicare for Michael Macdougall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Macdougall reassigns Medicare benefits to Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). The 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 Michael Macdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Macdougall accept?

Health plans from Oscar Health list Michael Macdougall 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 Michael Macdougall affiliated with any hospitals?

According to CMS data, Michael Macdougall is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Bon Secours Richmond Community Hospital, Bon Secours St Francis Medical Center and Rappahannock General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Macdougall was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.