Active NPI
William McDougall, DO
- Internal Medicine Physician
- Brookings, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO24746
- Practice address
- 503 Railroad St
Brookings, OR 97415-9043 - Phone
- (707) 954-8661
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D024746 | OR | |
| Internal Medicine Physician | 207R00000X | 20A7843 | CA | |
| Internal Medicine Physician | 207R00000X | DO24746 | OR | Primary |
Addresses
Primary practice location
503 Railroad St
Brookings, OR 97415-9043
Mailing address
PO Box 5299
Brookings, OR 97415-0102
Phone (541) 813-1797
Other practice location 1
648 Chetco Ave
Brookings, OR 97415-8010
Phone (541) 813-1797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274898 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
648 Chetco Ave
Brookings, OR 97415-8010
Phone (541) 813-1797
Hospital & facility affiliations
- Coastal Home Health & Hospice
- Curry General Hospital
- Sutter Coast Hospital
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 97.49
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7843 | CA | MD | Internal Medicine Physician |
| D024746 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Coast Wellness Inc. | Current | Accepting new patients | |
| Crescent City Internal Medicine | Internal Medicine | Past | Accepting new patients |
Locations
503 Railroad St
Brookings, OR 97415
Phone (541) 813-1797
648 Chetco Ave
Brookings, OR 97415
Phone (541) 412-2070
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CABIAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Brookings, OR
- NPI 1649544784
-
- Internal Medicine Physician
- Crescent City, CA
- NPI 1669468930
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Home Health Agency
- Brookings, OR
- NPI 1396032447
-
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1598763302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150102",
"telephone_number": "541-813-1797",
"fax_number": "541-813-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 RAILROAD ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159043",
"telephone_number": "707-954-8661"
}
],
"practiceLocations": [
{
"address_1": "648 Chetco Ave",
"address_purpose": "LOCATION",
"city": "Brookings",
"state": "OR",
"postal_code": "974158010",
"country_code": "US",
"telephone_number": "541-813-1797",
"fax_number": "541-813-1801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDOUGALL",
"first_name": "WILLIAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "D024746",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A7843",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO24746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274898",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.