Tommy D Dooley II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2108 Issued in WV

Practice address

6007 U.S. RT. 60 E. Suite 130
Barboursville, WV 25504

Phone

(304) 733-3333

Fax

(304) 733-3666

NPI assigned

Sep 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy a Vaughan Dermatology PLLCGroup PAC ID 5890792485, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Merit-based Incentive Payment System (MIPS)

Final score

90.35 of 100Reported as group

Quality

87.95

Promoting interoperability

100

Improvement activities

40

Cost

79.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Amy a Vaughan Dermatology PLLC

  • Procedural Dermatology Physician
  • Barboursville, WV
  • NPI 1154411908
  Medicare reassignment Care Compare group
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)

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

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation
• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1740709138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 U.S. RT. 60 E. SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 U.S. RT. 60 E. SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-536-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Brookshire Ln",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258016765",
            "country_code": "US",
            "telephone_number": "304-252-2673",
            "fax_number": "304-929-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Professional Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405945",
            "country_code": "US",
            "telephone_number": "240-707-6920",
            "fax_number": "240-707-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613602",
            "country_code": "US",
            "telephone_number": "304-235-5780",
            "fax_number": "304-235-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 New Hope Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402265",
            "country_code": "US",
            "telephone_number": "304-487-9100",
            "fax_number": "304-752-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Tavern Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "304-350-8733",
            "fax_number": "304-350-8655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Prosperity Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013743",
            "country_code": "US",
            "telephone_number": "304-752-8202",
            "fax_number": "304-752-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Kenton Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111266",
            "country_code": "US",
            "telephone_number": "304-345-1966",
            "fax_number": "304-345-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "TOMMY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-17",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269029200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.

Verify at the official NPI Registry.