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MATTHEW DAVID DOUGHMAN PA-C
NPI 1801190665
Physician Assistant - Medical in Portsmouth, OH

Active since January 07, 2011PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1711 27TH ST STE 102, PORTSMOUTH, OH 45662(740) 356-1709(740) 353-3027 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2020, Aug 5, 2020, Nov 7, 2019 (3 updates tracked since 2019).

About Matthew David Doughman Pa-c NPPES

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

MATTHEW DAVID DOUGHMAN PA-C (NPI 1801190665) is an individual medical provider in Portsmouth, Ohio, licensed in Ohio (50.003770RX) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801190665
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATTHEW DAVID DOUGHMANCredential: PA-C
Location Address1711 27TH ST STE 102Portsmouth, OH 45662-2657
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-6942 · Fax (740) 356-7851
Phone(740) 356-1709
Fax(740) 353-3027
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 7, 2011
Last NPPES UpdateDecember 22, 20203 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1801190665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in OH · 50.003770RX✔ Licensed in KY · PA1706
1711 27TH ST STE 102, Portsmouth, OH 45662
Open in Google Maps ↗

Other Identifiers 5

Medicaid7100219770KY
OtherTC091KY · Kentucky Medical Board
Medicaid0086440OH
Other1103317Nccpa
OtherPA1706KY · Kentucky Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Matthew David Doughman Pa-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 ID7911163183
PECOS Enrollment IDI20130810000031
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 10

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.
172 services117 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
139 services80 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.
115 services101 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
20 services20 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.
19 services16 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 11

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

VANESSA WANJERI MD
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
DR. DUANE J MARCHYN MD
Orthopaedic Surgery
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
JARED CARSON BENTLEY M.D.
Orthopaedic Surgery
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
DR. JAVAID A MALIK MD
Pain Medicine (Interventional Pain Medicine)
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
ZACHARY A HARR PA
Physician Assistant
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
DR. DARBY WILLIAM WEHRLEY D.P.M.
Podiatrist (Foot & Ankle Surgery)
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
CALEB ROSS DAVIS DPM
Podiatrist (Foot & Ankle Surgery)
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709
CHRISTOPHER G. BELTON DO
Orthopaedic Surgery
1711 27TH ST STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 356-1709

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 Matthew Doughman's NPI number?

The NPI number for Matthew Doughman is 1801190665. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Matthew Doughman located?

Matthew Doughman practices at 1711 27th St Ste 102, Portsmouth, OH 45662. The listed phone number is (740) 356-1709.

What is Matthew Doughman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Doughman enrolled in Medicare?

Yes. Matthew Doughman 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.

What insurance does Matthew Doughman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Matthew Doughman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Doughman affiliated with any hospitals?

According to CMS data, Matthew Doughman is affiliated with Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Matthew Doughman was last updated on December 22, 2020. 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.