LELA EVELYN DOUGHERTY MD
NPI 1891970091
Family Medicine in Butler, PA

Q: 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.

Q: What is Lela Dougherty'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 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 10 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.

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment

116 WOODY DR, BUTLER, PA 16001(833) 604-0435 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Jul 17, 2018 (2 updates tracked since 2018).

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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

NPI1891970091

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLELA EVELYN DOUGHERTYCredential: MD

Location Address116 WOODY DRButler, PA 16001-5692

Mailing Address4284 William Flynn Hwy Ste 102Allison Park, PA 15101-1440 · (412) 685-3373 · Fax (412) 423-5661

Phone(833) 604-0435

Sole ProprietorYes

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2007

Enumeration DateJanuary 7, 2008

Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1891970091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD438705

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.

116 WOODY DR, Butler, PA 16001

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Other Names 1

Former Name (1)Lela Evelyn Taylor Md

Other Identifiers 1

Medicaid1025147020002PA

Accepted Insurance

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

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.

PECOS PAC ID7214117761

PECOS Enrollment IDI20110215001043

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.

35 services26 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

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

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, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 9

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

BUTLER FAMILY PRACTICE

Family Medicine

116 WOODY DR
BUTLER, PA 16001

Butler County (724) 287-8500

MR. DANIEL F SUNDIE P.T.

Physical Therapist

116 WOODY DR
BUTLER, PA 16001

Butler County (724) 283-7177

MRUNALI LUKE MD

Family Medicine

116 WOODY DR
BUTLER, PA 16001

Butler County (833) 604-7215

STACEY M CURRAN D.O.

Family Medicine

116 WOODY DR
BUTLER, PA 16001

Butler County (724) 287-8500

DR. GERALD CHRISTOPHER EDDIS JR.

Student in an Organized Health Care Education/Training Program

116 WOODY DR
BUTLER, PA 16001

Butler County (833) 604-0435

ALEXYS ALLEN MD

Family Medicine

116 WOODY DR
BUTLER, PA 16001

Butler County (833) 604-0435

RACHEL A CATALDO MD

Student in an Organized Health Care Education/Training Program

116 WOODY DR
BUTLER, PA 16001

Butler County (833) 604-0435

DR. DAVID ANTHONY KLODOWSKI MD, MPH

Psychiatry & Neurology (Neurology)

116 WOODY DR
BUTLER, PA 16001

Butler County (833) 995-0117

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.

What insurance does Lela Dougherty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Molina Healthcare 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 10 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.