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LORI J MCDOUGALD NP
NPI 1982602769
Nurse Practitioner in Buffalo, NY

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON STREETS, BUFFALO, NY 14263(716) 845-2300(716) 845-3423 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Aug 20, 2019 (2 updates tracked since 2019).

About Lori J Mcdougald Np NPPES

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

LORI J MCDOUGALD NP (NPI 1982602769) is an individual nurse practitioner in Buffalo, New York, licensed in New York (F330897) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1982602769
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI J MCDOUGALDCredential: NP
Location AddressELM AND CARLTON STREETSBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300 · Fax (716) 845-3423
Phone(716) 845-2300
Fax(716) 845-3423
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 14, 2005
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1982602769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F330897
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
ELM AND CARLTON STREETS, Buffalo, NY 14263
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Other Identifiers 3

Other00026524603NY · Univera
Other000560313005NY · Blue Cross/blue Shield
Medicaid02323600NY

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

Lori J Mcdougald Np 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 ID1355373994
PECOS Enrollment IDI20050906000201
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 4

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.
167 services81 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.
47 services36 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.
31 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers53 claims53 services$18.51 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers53 claims53 services$36.03 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers20 claims1,554 services$0.69 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
2 suppliers53 claims544 services$1.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers16 claims16 services$16.65 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 20

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

MUSA SAEED M.D.
Internal Medicine
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
JESSICA LYNN HAFEZI
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. ZHONGBO YANG M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. VLADIMIR FRIAS D.D.S
Dentist (Prosthodontics)
ELM AND CARLTON STREETS
BUFFA;P, NY 14263
Erie County (716) 845-2300
NOELLE DICKEY NP
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
MS. MICHELE NANNI PA
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
MR. NATHAN A LARICCIA PA-C
Physician Assistant (Medical)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
JOHN M KANE III MD
Surgery (Surgical Oncology)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300

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 Lori Mcdougald's NPI number?

The NPI number for Lori Mcdougald is 1982602769. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Lori Mcdougald located?

Lori Mcdougald practices at Elm And Carlton Streets, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Lori Mcdougald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Mcdougald enrolled in Medicare?

Yes. Lori Mcdougald 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.

When was this NPI record last updated?

The NPPES record for Lori Mcdougald was last updated on January 21, 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.