DR. LYNDA S DOUGHERTY M.D.
NPI 1376534149
Colon & Rectal Surgery in Oakland, MD

Q: What is Lynda Dougherty's NPI number?

The NPI number for Lynda Dougherty is 1376534149. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Lynda Dougherty's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Lynda Dougherty was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 02, 2005PECOS EnrolledAccepts Medicare Assignment

88.37/100

CMS Quality Rating

880 MEMORIAL DR, OAKLAND, MD 21550(301) 334-4340(877) 504-1066 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2019, Mar 15, 2019 (2 updates tracked since 2019).

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About Dr. Lynda S Dougherty M.d. NPPES

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

DR. LYNDA S DOUGHERTY M.D. (NPI 1376534149) is an individual colon & rectal surgery provider in Oakland, Maryland, licensed in Maryland (D0068477) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1376534149

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameDR. LYNDA S DOUGHERTYCredential: M.D.

Location Address880 MEMORIAL DROakland, MD 21550-5114

Mailing Address880 Memorial DrOakland, MD 21550-5114 · (301) 334-4340 · Fax (877) 504-1066

Phone(301) 334-4340

Fax(877) 504-1066

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateNovember 2, 2005

Last NPPES UpdateMay 30, 20192 updates tracked since enumeration

✔ NPI 1376534149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in MD · D0068477

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSpecialistTaxonomy 174400000X · License 0101221383 (VA)

Also ListedSurgeryTaxonomy 208600000X · License D0068477 (MD)

880 MEMORIAL DR, Oakland, MD 21550

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Other Identifiers 1

Medicaid5831831VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Lynda S Dougherty M.d. 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 ID6103005756

PECOS Enrollment IDI20180802001836

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 8

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

99 services99 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

72 services72 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

68 services68 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.

27 services25 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

22 services22 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

88.37/100

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

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

68.73

Reported Quality Measures

Advance Care Plan

100%133 patients5/55-star benchmark: 100%

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

100%296 patients

Colorectal Cancer Screening

100%265 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%539 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%430 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%63 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 138 patients

Patients totalRate: 0% · 138 patients

0%138 patients5/55-star benchmark: 100%

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.

Other Providers at the Same Location NPPES 6

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

DR. DAVID ELMORE TUEL II M.D.

Specialist