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KELLY DUGAN
NPI 1710170543
Internal Medicine in Erie, PA

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Dugan NPPES

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

KELLY DUGAN (NPI 1710170543) is an individual internal medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS014814) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2006).

NPPES Registry Identity

NPI1710170543
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY DUGAN
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002
Phone(814) 877-4922
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2006
Enumeration DateAugust 24, 2007
Last NPPES UpdateMay 24, 2021
✔ NPI 1710170543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS014814
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 STATE ST, Erie, PA 16550
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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

Kelly Dugan 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 ID2668528084
PECOS Enrollment IDI20090925000299
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
204 services196 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

MRS. MARSHA SIGRID DIETRICH-MCLEAN D.O.
Hospitalist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
NANCY LUCILLE KARDOS PTA
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000
MRS. SHANNON R FOLGA MSN, CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 450-0776
ALYSSA LEIGH KIMMY CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2621
DR. JAMES PAWLAK III DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 864-4031
HALLE KATE SNYDER
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2820
COLLEEN KASSANDRA DOMINICI PA-C
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
DR. KEVIN A ANDRYC DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000

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 Kelly Dugan's NPI number?

The NPI number for Kelly Dugan is 1710170543. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Kelly Dugan located?

Kelly Dugan practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-4922.

What is Kelly Dugan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Dugan enrolled in Medicare?

Yes. Kelly Dugan 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 Kelly Dugan affiliated with any hospitals?

According to CMS data, Kelly Dugan is affiliated with Upmc Chautauqua At Wca, Upmc Hamot, Upmc Northwest and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Kelly Dugan was last updated on May 24, 2021. 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.