JOHN ALLAN MCDOUGALL JR. MD
NPI 1760773287
Internal Medicine - Rheumatology in Shiprock, NM

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
US HWY 491 NORTH, DEPARTMENT OF IM/RHEUMATOLOGY, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2021, Jul 13, 2018 (2 updates tracked since 2018).

About John Allan Mcdougall Jr. Md NPPES

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

JOHN ALLAN MCDOUGALL JR. MD (NPI 1760773287) is an individual rheumatology provider in Shiprock, New Mexico, licensed in Connecticut (55177) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1760773287
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOHN ALLAN MCDOUGALL JR.Credential: MD
Location AddressUS HWY 491 NORTH, DEPARTMENT OF IM/RHEUMATOLOGYShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011
Enumeration DateMay 2, 2011
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
NPI 1760773287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CT · 55177
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 55177 (CT)
US HWY 491 NORTH, Shiprock, NM 87420

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

John Allan Mcdougall Jr. 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 ID941505564
PECOS Enrollment IDI20180813000455
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 3

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 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.
106 services71 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.
16 services15 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420

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 John Mcdougall's NPI number?

The NPI number for John Mcdougall is 1760773287. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is John Mcdougall located?

John Mcdougall practices at Us Hwy 491 North Department Of Im/Rheumatology, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is John Mcdougall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Mcdougall enrolled in Medicare?

Yes. John Mcdougall 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 John Mcdougall affiliated with any hospitals?

According to CMS data, John Mcdougall is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for John Mcdougall was last updated on August 10, 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.