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Mackenzie Doughty

Physician Assistant β€’ Baltimore, MD

Active NPI 1376387670 Individual Practitioner Female Practitioner
Practice location in NPPES

4940 Eastern Ave
Baltimore, MD 212242735

Call 4105500350 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4940 Eastern Ave

Baltimore, MD 212242735

Telephone 4105500350
Organization at the Same NPPES Address or Phone
Johns Hopkins University Facility NPI 1275515546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Emergency Medicine Services Of Fl Llc; Johns Hopkins University. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mackenzie Doughty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mackenzie Doughty as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baltimore and Maryland

1,194 active clinicians are listed under Physician Assistant with a practice address in Baltimore, MD (3,319 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

7.6% of these 1,194 clinicians have the CMS telehealth indicator.

39.6% of these 1,194 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MD C0009456

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240924004482

Enrollment State Jurisdiction

MD

PECOS Control ID

0345781845

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Emergency Medicine Services Of Fl Llc

5301 S Congress Ave, Atlantis, FL 334621197

Phone: 5619657300

Johns Hopkins University

4940 Eastern Ave, Baltimore, MD 212242735

Johns Hopkins University

600 N Wolfe St, Baltimore, MD 212870005

Phone: 4105024340

Johns Hopkins University

600 N Wolf St, Baltimore, MD 212870005

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Dr. Edward Bessman , MD

Emergency Medicine

NPI 1629034590

Doctor of Medicine (M.D.)

Mary Bolgiano

Emergency Medicine

NPI 1164954509
Gayle Caldamo , PA-C

Physician Assistant

NPI 1306556212

Physician Assistant (Certified)

Donna Curtis , PA-C

Physician Assistant

NPI 1215972112

Physician Assistant (Certified)

Dr. Sherieka Duncan , MD

Emergency Medicine

NPI 1972877751

Doctor of Medicine (M.D.)

Dr. Giorgio Galetto , MD

Emergency Medicine

NPI 1801839451

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address September 10, 2024

Registered at 6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 212202004 (Tel: 4109332704)

βœ…
NPI Profile Active June 21, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2024

Registered at 4940 EASTERN AVE, BALTIMORE, MD 212242735 (Tel: 4105500350)

πŸ“
Business Mailing Address (Initial Record) June 21, 2024

Registered at 1984 COUNTY ROAD 3102, BARTLESVILLE, OK 740033045 (Tel: 9182877707)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2024

Recorded as MACKENZIE DOUGHTY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration June 21, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376387670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2024
Last Update: September 10, 2024
Sole Proprietor: No

Other Physician Assistants in Baltimore

All Physician Assistants in Baltimore

Mailing Address

6201 Greenleigh Ave Fl 2

Middle River, MD 212202004

Phone: 4109332704

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.