Active NPI 1740358886 Individual Practitioner Female Practitioner

Dr. Mary A Dougal , MD

Ophthalmology • Niles, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mary Dougal, MD is a certified Ophthalmology practicing in Niles, IL. With approximately 48 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1978, Dr. Dougal delivers high-quality medical care to the local community at 7421 N MILWAUKEE AVE.

Dr. Dougal is affiliated with Milwaukee Avenue Eye Center, S.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7421 N Milwaukee Ave

Niles, IL 607143707

Telephone 7737750811

Fax 7738197013

Associated Practice Facility / Clinic

🏢 Milwaukee Avenue Eye Center, S.c. Facility NPI 1760558464

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Niles, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +20.8 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Niles, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougal (48 Years) 48 Yrs

Niles Specialty Average (27.2 Years) 27.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	438	435	$252.45	$126.49
92250 Photography of the retina	147	144	$76.71	$37.43
92012 Established patient problem focused exam of visual system	142	99	$180.12	$89.76
92134 Imaging of retina	84	78	$75.41	$40.62
92133 Imaging of optic nerve	82	79	$74.88	$35.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	46	$114.25	$58.35
92083 Exam of visual field with extended testing	56	55	$127.93	$63.81
92004 New patient complete exam of visual system	28	28	$297.61	$149.96
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$175.77	$93.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	485	479	$190.00	$129.51
92012 Established patient problem focused exam of visual system	144	98	$135.38	$91.92
92250 Photography of the retina	98	97	$85.00	$38.35
92133 Imaging of optic nerve	82	82	$75.00	$37.09
92134 Imaging of retina	63	58	$75.00	$40.62
92083 Exam of visual field with extended testing	62	60	$95.00	$64.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$65.00	$59.29
92004 New patient complete exam of visual system	21	21	$210.00	$153.23
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$105.00	$94.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	490	472	$190.00	$132.43
92012 Established patient problem focused exam of visual system	145	101	$135.00	$93.77
92133 Imaging of optic nerve	112	107	$75.00	$37.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	56	$65.00	$60.49
92083 Exam of visual field with extended testing	74	73	$95.00	$65.71
92134 Imaging of retina	65	61	$75.00	$41.67
92250 Photography of the retina	48	48	$85.00	$38.83
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$105.00	$96.52
92004 New patient complete exam of visual system	18	18	$210.00	$156.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	507	480	$190.00	$135.01
92012 Established patient problem focused exam of visual system	131	92	$135.00	$95.69
92133 Imaging of optic nerve	93	92	$75.00	$38.74
92250 Photography of the retina	77	74	$85.00	$41.85
92083 Exam of visual field with extended testing	69	69	$95.00	$67.82
92134 Imaging of retina	59	54	$75.00	$43.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$65.69	$60.67
99213 Established patient office or other outpatient visit, typically 15 minutes	48	40	$105.00	$99.13
92004 New patient complete exam of visual system	44	44	$210.00	$160.33
92136 Measurement of corneal curvature and depth of eye	25	20	$95.00	$51.17
76514 Ultrasound scan of cornea to determine thickness	11	11	$20.00	$12.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	431	430	$134.00	$134.34
92012 Established patient problem focused exam of visual system	131	88	$94.00	$94.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	72	$49.92	$49.43
92250 Photography of the retina	106	106	$85.00	$48.07
92133 Imaging of optic nerve	82	79	$75.00	$38.89
92134 Imaging of retina	59	58	$75.00	$43.48
92083 Exam of visual field with extended testing	58	56	$90.00	$67.39
92004 New patient complete exam of visual system	42	42	$160.00	$159.87
92136 Measurement of corneal curvature and depth of eye	29	23	$178.79	$59.82
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$950.00	$359.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	531	528	$134.00	$131.95
92012 Established patient problem focused exam of visual system	196	135	$94.00	$92.05
92250 Photography of the retina	187	187	$85.00	$52.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	83	$47.00	$46.38
92133 Imaging of optic nerve	100	96	$75.00	$38.22
92004 New patient complete exam of visual system	69	69	$160.00	$157.29
92134 Imaging of retina	61	55	$75.00	$42.37
92083 Exam of visual field with extended testing	59	58	$90.00	$66.70
92136 Measurement of corneal curvature and depth of eye	48	43	$185.00	$67.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	563	556	$134.00	$127.63
92250 Photography of the retina	229	226	$85.00	$57.65
92012 Established patient problem focused exam of visual system	218	141	$92.00	$88.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	96	$47.00	$44.94
92133 Imaging of optic nerve	105	104	$75.00	$37.75
92083 Exam of visual field with extended testing	67	66	$90.00	$65.01
92136 Measurement of corneal curvature and depth of eye	64	58	$185.00	$71.55
92134 Imaging of retina	61	57	$75.00	$41.90
92004 New patient complete exam of visual system	49	49	$160.00	$152.54
68761 Closure of tear duct opening using plug	25	12	$200.00	$115.55
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$950.00	$339.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	589	580	$134.00	$128.58
92012 Established patient problem focused exam of visual system	251	163	$92.00	$88.97
92250 Photography of the retina	223	223	$85.00	$68.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	91	$47.00	$46.01
92133 Imaging of optic nerve	107	106	$75.00	$38.40
92083 Exam of visual field with extended testing	79	78	$90.00	$66.32
92134 Imaging of retina	69	64	$75.00	$42.48
92004 New patient complete exam of visual system	55	55	$160.00	$154.98
92136 Measurement of corneal curvature and depth of eye	52	42	$185.00	$78.04
68761 Closure of tear duct opening using plug	32	13	$200.00	$123.15
66984 Removal of cataract with insertion of lens	27	21	$2300.00	$676.67
66821 Removal of recurring cataract in lens capsule using a laser	20	19	$950.00	$346.75

Medical Specialties & State Licenses

CMS Verified: 2023-04-24

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036059569

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036059569 (IL)

Commercial Insurance / Payer ID Bcbs Number

16202167 (IL)

Hospital & Practice Group Affiliations

Milwaukee Avenue Eye Center, S.c.

7421 N Milwaukee Ave, Niles, IL 607143707

Phone: 7737750811

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Marina Shepelenko , OD

Optometrist

NPI 1033421227

Doctor of Optometry

Dr. Kevin Sullivan , MD

Ophthalmology

NPI 1245390897

Doctor of Medicine (M.D.)

Dr. Paul Park , MD

Ophthalmology

NPI 1295140309

Doctor of Medicine (M.D.)

Dr. Jason Ethington , MD

Ophthalmology

NPI 1295962074

Doctor of Medicine (M.D.)

Dr. Kevin Mcclellan , MD

Ophthalmology

NPI 1699835249

Doctor of Medicine (M.D.)

Dr. Christine Mata , MD

Ophthalmology

NPI 1891099420

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 10, 2022

Registered at 7421 N MILWAUKEE AVE, NILES, IL 607143707 (Tel: 7739930279)

📍

Updated Business Mailing Address May 10, 2022

Registered at 7421 N MILWAUKEE AVE, NILES, IL 607143707 (Tel: 7739930279)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2022

Ophthalmology (License #036059569 in IL)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 7447 W TALCOTT AVE, SUITE 300, CHICAGO, IL 606313745 (Tel: 7737750811)

📍

Updated Business Mailing Address July 09, 2007

Registered at 7447 W TALCOTT AVE, SUITE 300, CHICAGO, IL 606313745 (Tel: 7737750811)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MARY DOUGAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology

🟢

Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740358886

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 30, 2006

Last Update: April 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7421 N Milwaukee Ave

Niles, IL 607143707

Phone: 7739930279

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.