Active NPI 1982602769 Individual Practitioner Female Practitioner

Lori J Mcdougald , NP

Nurse Practitioner • Buffalo, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lori Mcdougald, NP is a certified Nurse Practitioner practicing in Buffalo, NY. With approximately 32 years of clinical experience since completing medical education in 1994, Lori Mcdougald delivers high-quality medical care to the local community at ELM AND CARLTON STREETS.

Lori Mcdougald is affiliated with Roswell Park Cancer Institute and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Elm And Carlton Streets

Buffalo, NY 142630001

Telephone 7168452300

Fax 7168453423

Associated Practice Facility / Clinic

🏢 Roswell Park Cancer Institute Facility NPI 1720036593

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Buffalo, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +19.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

222 Specialists

Practicing in Buffalo, NY (3155 Statewide)

Telehealth Adoption Rate

11.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdougald (32 Years) 32 Yrs

Buffalo Specialty Average (12.8 Years) 12.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	81	$292.31	$77.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	36	$422.49	$115.31
99213 Established patient office or other outpatient visit, typically 15 minutes	31	19	$207.74	$52.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$608.18	$144.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	73	$279.50	$78.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	60	$403.05	$114.42
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$198.85	$53.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	50	$263.53	$80.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	82	60	$388.68	$115.60
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$184.96	$52.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	75	$178.73	$55.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	33	$251.15	$83.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$133.30	$30.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	89	$240.82	$66.11
99213 Established patient office or other outpatient visit, typically 15 minutes	123	76	$169.98	$42.27
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$142.54	$42.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	83	$161.05	$41.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	61	$230.93	$64.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	60	$154.46	$40.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	38	$218.83	$62.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	79	$147.02	$41.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	39	$209.93	$64.75

Medical Specialties & State Licenses

CMS Verified: 2021-01-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F330897

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02323600 (NY)

Commercial Insurance / Payer ID Univera

00026524603 (NY)

Commercial Insurance / Payer ID Blue Cross/blue Shield

000560313005 (NY)

Hospital & Practice Group Affiliations

Roswell Park Cancer Institute

1540 Maple Rd, Williamsville, NY 142213647

Phone: 7168452300

Roswell Park Cancer Institute

Elm And Carlton St, Buffalo, NY 142630001

Phone: 7168452300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Michelle Mccarthy , PA

Physician Assistant

NPI 1003003955

Physician Assistant

Dr. Musa Saeed , MD

Internal Medicine

NPI 1003226143

Doctor of Medicine (M.D.)

Stephanie Myszka , FNP-BC

Nurse Practitioner - Family

NPI 1003361585

Family Nurse Practitioner (Board Certified)

Jessica Hafezi

Nurse Practitioner

NPI 1003380528

Dr. Zhongbo Yang , MD

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1013356047

Doctor of Medicine (M.D.)

Maghan Krone , NP

Nurse Practitioner

NPI 1013432194

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 20, 2019

Registered at ELM AND CARLTON STREETS, BUFFALO, NY 142630001 (Tel: 7168452300)

✅

NPI Profile Active October 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2013

Registered at ELM AND CARLTON ST, BUFFALO, NY 142630001 (Tel: 7168452300)

📍

Updated Business Mailing Address October 25, 2013

Registered at ELM AND CARLTON ST, BUFFALO, NY 142630001 (Tel: 7168452300)

👤

Provider Name / Credentials Updated October 25, 2013

Recorded as LORI MCDOUGALD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2013

Nurse Practitioner (License #F330897 in NY)

🟢

Initial NPI Registration & Enumeration July 14, 2005

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: 1982602769

Entity Type:

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

Enumeration Date: July 14, 2005

Last Update: January 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Elm And Carlton St

Buffalo, NY 142630001

Phone: 7168452300

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.