Dr. Stephen Doughty, MD
1120 E War Memorial DR, Peoria Heights, IL 61616 • +1-956-555-8220
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Peoria Heights Percentiles
NPI #1255327631 • CBSA Regional • Infectious Disease
Statistical peer benchmarking across IL Infectious Disease providers positions Dr. Stephen Doughty, MD in Peoria Heights at +0.41σ (50th city percentile / 79.85th state percentile, 91 Medicare beneficiaries), with clinical focus spanning 35 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1255327631 highlights 94 annual claims for 99214 (50th Peoria Heights percentile; $46–$63 self-pay corridor) plus 54 encounters under 99213 and 27 under 93000.
For out-of-network patients contacting +1-956-555-8220, Dr. Doughty's practice posts a $218.00 GPCI self-pay consult estimate ($218.00 patient-logged median, 4.88/5 composite reality score over 7 submissions).
NPI registry verification (#1255327631) confirms Dr. Stephen Doughty's MD standing serving CBSA 61616 with a 4.88/5 patient scorecard.
Compared against Peoria Heights, IL Infectious Disease peers
30,814 annual services across 91 beneficiaries
Standard deviations from IL Infectious Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 94 | 50th | $46 – $63 |
| 99213 | Established Preventive & Chronic Care Visit | 54 | 53th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 27 | 48th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 21 | 45th | $54 – $75 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 13 | 52th | $64 – $88 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (35 HCPCS billing breadth) | 30,605 | 50th | $45 – $65 |
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Dr. Stephen Doughty, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Doughty National Provider Identifier | NPI #1255327631 (MD) | CMS NPPES Registry (61616) |
| Dr. Doughty Peoria Heights CMS Volume Rank | 50.00th Pct (30,814 CMS svcs; Z +0.415σ) | CMS Medicare Part B (IL Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Peoria Heights, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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