Doctor profile · Federal record
Dr. Carl McDougall, MD
Gastroenterology Physician (CMS: Gastroenterology) · New York, NY
- NPI 1184672149
- Accepts Medicare
- MIPS 14.6 / 100 · 2023
- 44 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
60 E 56Th St, 7Th Floor
New York, NY 100223204
(212) 891-6555
fax (212) 326-8986
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 4, 2020
- Year of graduation
- 1982 — 44 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #156743
- Medicaid
- NY #01071434
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184672149. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
754
Distinct HCPCS
10
Medicare allowed
$97,782
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 181 | 127 | $135 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 154 | 133 | $93 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 81 | 80 | $145 | |
36415 |
Insertion of needle into vein for collection of blood sample | 75 | 59 | $8 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 70 | 64 | $119 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 57 | 54 | $273 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $177 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 24 | 24 | $195 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 22 | 22 | $199 |
In context: peer comparison
Among 165 peers in this city , average services per provider: 69. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$323
Transactions
7
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 3 | $175.05 | |
| ABBVIE INC. | 1 | $95.13 | |
| Celgene Corporation | 2 | $34.31 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $18.06 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
529
Patients
169
Total drug cost
$122,663
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 160 | 49 | $1,980 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 72 | 69 | $5,639 |
| Famotidine | Generic | 67 | 23 | $1,506 |
| Ondansetron Hcl | Generic | 64 | 17 | $997 |
| Pantoprazole Sodium | Generic | 32 | 0 | $617 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 25 | 0 | $11,979 |
| Creon (Lipase/Protease/Amylase) | Brand | 24 | 0 | $89,093 |
| Hydrocortisone | Generic | 23 | 11 | $406 |
| Mesalamine Er (Mesalamine) | Brand | 22 | 0 | $9,619 |
| Esomeprazole Magnesium | Generic | 16 | 0 | $644 |
Frequently asked questions
What is Dr. Carl McDougall's medical specialty?
Dr. Carl McDougall practices Gastroenterology Physician in New York, NY.
Where does Dr. Carl McDougall practice?
Dr. Carl McDougall practices at 60 E 56Th St, New York, NY 100223204. Office phone: 2128916555.
What is Dr. Carl McDougall's NPI?
Dr. Carl McDougall's National Provider Identifier (NPI) is 1184672149, issued by NPPES.
Does Dr. Carl McDougall accept Medicare assignment?
Yes. Dr. Carl McDougall accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carl McDougall commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.