LELA EVELYN DOUGHERTY MD
NPI 1891970091
Family Medicine in Butler, PA
About Lela Evelyn Dougherty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LELA EVELYN DOUGHERTY MD (NPI 1891970091) is an individual family medicine provider in Butler, Pennsylvania, licensed in Pennsylvania (MD438705) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lela Evelyn Dougherty 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.
Medicare Billing Reassignment
Medicare enrollment records show Lela Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Butler, PA 16001
- Reassigned Medicare billing, Pennsylvania enrollment
- 482 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Butler Memorial Hospital
Acute Care Hospitals · Butler, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUTLER, PA 16001
BUTLER, PA 16001
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 Lela Dougherty's NPI number?
The NPI number for Lela Dougherty is 1891970091. It was assigned to this individual provider in the NPPES registry on January 7, 2008. The provider is also known as Lela Evelyn Taylor MD.
Where is Lela Dougherty located?
Lela Dougherty practices at 116 Woody Dr, Butler, PA 16001. The listed phone number is (833) 604-0435.
What is Lela Dougherty's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lela Dougherty enrolled in Medicare?
Yes. Lela Dougherty 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.
Which organization bills Medicare for Lela Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lela Dougherty reassigns Medicare benefits to Butler Medical Providers (Butler, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lela Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lela Dougherty accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lela Dougherty 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 Lela Dougherty affiliated with any hospitals?
According to CMS data, Lela Dougherty is affiliated with Butler Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Lela Dougherty was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Lela Evelyn Dougherty, MD · NPI 1891970091
Family Medicine physician in Butler, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 7, 2008.
## Identity
- **NPI:** 1891970091 (Entity type: Individual)
- **Enumerated:** January 7, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD438705 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 116 WOODY DR, Butler, PA 16001-5692
- **Phone:** (833) 604-0435
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Butler Medical Providers (NPI 1245629617, Butler, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 2007
## Record status
- **NPPES last updated:** October 10, 2025
- **Other identifiers:** Medicaid 1025147020002 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891970091) · Data from the CMS NPPES public registry.