MARK WILLIAM DOUGHTY (FNP-BC) – Family Nurse Practitioner, NPI 1982095444
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for MARK WILLIAM DOUGHTY (FNP-BC)
2740 KEMPTON HILLS DR
ANCHORAGE, AK 995162776
Phone: (907) 244-3694
Type: Mailing
4050 LAKE OTIS PKWY STE 210
ANCHORAGE, AK 995085221
Phone: (907) 244-3694
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150903001014 | I | Nurse Practitioner | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 172 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 52 | 52 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 51 | 50 | $0 |
| 81002 | Urinalysis, manual test | 44 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | 19 | $0 |
Insurance plans in this area (ZIP 99516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| - | AK | |
| Family Practice | AK | |
| Physician Assistant | AK | |
| General Practice | AK |
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