MRS. DOROTHY MCGAW FNP-C
NPI 1316507346
Nurse Practitioner - Family in Rochester Hills, MI

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
1701 SOUTH BLVD E, ROCHESTER HILLS, MI 48307(248) 853-6300 Get Directions Write a Review

NPPES record last updated: July 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2020, Jun 20, 2019 (2 updates tracked since 2019).

About Mrs. Dorothy Mcgaw Fnp-c NPPES

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

MRS. DOROTHY MCGAW FNP-C (NPI 1316507346) is an individual family provider in Rochester Hills, Michigan, licensed in Michigan (4704315397) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316507346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DOROTHY MCGAWCredential: FNP-C
Location Address1701 SOUTH BLVD ERochester Hills, MI 48307-6122
Mailing Address3219 Harrison AveRochester Hills, MI 48307-5564 · (586) 925-1859
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 20, 2019
Last NPPES UpdateJuly 26, 20202 updates tracked since enumeration
NPPES CertifiedJuly 26, 2020
NPI 1316507346 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 MI · 4704315397
1701 SOUTH BLVD E, Rochester Hills, MI 48307

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

Mrs. Dorothy Mcgaw Fnp-c 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 ID8820412216
PECOS Enrollment IDI20200717001487
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 12

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.
160 services150 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 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.
81 services79 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.
57 services57 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
51 services51 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.
50 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

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.

Advanced Practice Midwife
1701 SOUTH BLVD E, SUITE 200
ROCHESTER HILLS, MI 48307
Internal Medicine
1701 SOUTH BLVD E, STE 290
ROCHESTER HILLS, MI 48307
Clinical Medical Laboratory
1701 SOUTH BLVD E, SUITE 107
ROCHESTER HILLS, MI 48307
Internal Medicine (Cardiovascular Disease)
1701 SOUTH BLVD E, SUITE 390
ROCHESTER HILLS, MI 48307
Internal Medicine
1701 SOUTH BLVD E, STE 290
ROCHESTER HILLS, MI 48307
Registered Nurse
1701 SOUTH BLVD E, SUITE 200
ROCHESTER HILLS, MI 48307
Midwife
1701 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Internal Medicine (Infectious Disease)
1701 SOUTH BLVD E, SUITE 160
ROCHESTER HLS, MI 48307

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 Dorothy Mcgaw's NPI number?

The NPI number for Dorothy Mcgaw is 1316507346. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Dorothy Mcgaw located?

Dorothy Mcgaw practices at 1701 South Blvd E, Rochester Hills, MI 48307. The listed phone number is (248) 853-6300.

What is Dorothy Mcgaw's specialty?

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

Is Dorothy Mcgaw enrolled in Medicare?

Yes. Dorothy Mcgaw 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.

Is Dorothy Mcgaw affiliated with any hospitals?

According to CMS data, Dorothy Mcgaw is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Dorothy Mcgaw was last updated on July 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.