MICHAEL B JR. DOOLEY (PA-C) – Surgical Physician Assistant, NPI 1982671574

MICHAEL B JR. DOOLEY (PA-C) is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. MA000393L (PA). The NPI Number for MICHAEL B JR. DOOLEY (PA-C) is 1982671574

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL B JR. DOOLEY (PA-C)
NPI
1982671574
Phone
(484) 476-1000
Address
100 E LANCASTER AVE
Enumeration Date
2 March 2006
Last Update Date
1 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
4183641277
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20051027001090
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL B JR. DOOLEY (PA-C)

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    JD LANKENAU PAVILION, MEZZANINE

    WYNNEWOOD, PA 190963450

    Phone: (484) 476-1000

    Fax: (484) 476-9000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,074.

Total Amount is formed as General ($1,074) + Research ($0) + Ownership ($0) = $1,074.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($628).

Total Amount

$1,074

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,074

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051027001090IPhysician AssistantPATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19096)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951215201View full group profile

Reviews

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Frequently asked questions

Can I cross-check MICHAEL B JR. DOOLEY (PA-C) using NPI 1982671574?
NPI 1982671574 belongs to MICHAEL B JR. DOOLEY (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to MICHAEL B JR. DOOLEY (PA-C)?
You should see MICHAEL B JR. DOOLEY (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHAEL B JR. DOOLEY (PA-C)?
MICHAEL B JR. DOOLEY (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHAEL B JR. DOOLEY (PA-C) associated with Wynnewood?
Public fields place MICHAEL B JR. DOOLEY (PA-C) around Wynnewood, Pennsylvania. Always confirm the exact site before visiting.
Does MICHAEL B JR. DOOLEY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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