Individual provider Active NPI

William McDougall, DO

  • Internal Medicine Physician
  • Brookings, OR
National Provider Identifier
1598763302
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO24746 Issued in OR
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

Updated by the provider on Feb 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274898MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000585 OR Practitioner - Internal Medicine 0648179267 Reassigns benefits to 1 organization

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 Home health agency, Brookings, OR, CCN 387087
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
97.49
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23
Removal of nail tissue1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A7843CAMDInternal Medicine Physician
D024746ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Coast Wellness Inc. CurrentSince Mar 5, 2012 Accepting new patients
Crescent City Internal Medicine Internal Medicine PastSince Jan 1, 1990 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

  • FHIR API: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.