DR. MARK K DOUGHTY MD
NPI 1730196015
Family Medicine in Skowhegan, ME

Q: What is Mark Doughty's NPI number?

The NPI number for Mark Doughty is 1730196015. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Mark Doughty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Doughty was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 01, 2006PECOS Enrolled

46 FAIRVIEW AVE STE 111, SKOWHEGAN, ME 04976(207) 474-0905(207) 474-6930 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2022, Dec 11, 2019, Mar 17, 2017 (3 updates tracked since 2017).

On this page

About Dr. Mark K Doughty Md NPPES

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

DR. MARK K DOUGHTY MD (NPI 1730196015) is an individual family medicine provider in Skowhegan, Maine, licensed in Maine (MD18661) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730196015

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK K DOUGHTYCredential: MD

Location Address46 FAIRVIEW AVE STE 111Skowhegan, ME 04976-1481

Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 474-0905 · Fax (207) 474-6930

Phone(207) 474-0905

Fax(207) 474-6930

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateJune 30, 20233 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1730196015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD18661

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

46 FAIRVIEW AVE STE 111, Skowhegan, ME 04976

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Other Identifiers 1

Medicaid1730196015ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark K Doughty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mark Doughty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Redington-Fairview General Hospital

Same address

Critical Access

46 FAIRVIEW AVE
Skowhegan, ME 04976

Reassigned Medicare billing, Maine enrollment
124 clinicians in this Medicare group

NPI 1174549133 (207) 474-5121

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 04976 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers39 claims69 services$5.89 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims17 services$1.00 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers13 claims13 services$42.61 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers22 claims22 services$111.46 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers20 claims58 services$43.92 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers15 claims15 services$22.62 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 8

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

OTO PROKOP M.D.

Internal Medicine