Dr. Kristin Macdougall, MD
315 E Middle Country Rd, Smithtown, NY 11787 • +1-506-555-4581
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Smithtown Percentiles
NPI #1093000325 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. Kristin Macdougall (MD, NPI 1093000325) at 315 E Middle Country Rd in Smithtown with 136,157 annual clinical services (849 beneficiaries), corresponding to a +9.97σ regional deviation and top-decile high-throughput specialist (90.48th percentile in Smithtown) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093000325 highlights 1853 annual claims for 99214 (90.48th Smithtown percentile; $48–$66 self-pay corridor) plus 1070 encounters under 99213 and 535 under 93000.
Direct cash-pay transparency modeling sets Dr. Macdougall's baseline new-consult rate near $232.00 in Smithtown, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Clinical background for Dr. Macdougall (MD, NPI #1093000325) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across NY.
Top 10% Internal Medicine volume leader in Smithtown, NY
136,157 annual services across 849 beneficiaries
Standard deviations from NY Internal Medicine 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 | 1,853 | 90.48th | $48 – $66 |
| 99213 | Established Preventive & Chronic Care Visit | 1,070 | 85.48th | $37 – $52 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 535 | 95.48th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 412 | 91.48th | $57 – $78 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 247 | 88.48th | $67 – $92 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 132,040 | 90.48th | $45 – $65 |
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Dr. Kristin Macdougall, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Macdougall National Provider Identifier | NPI #1093000325 (MD) | CMS NPPES Registry (11787) |
| Dr. Macdougall Smithtown CMS Volume Rank | 90.48th Pct (136,157 CMS svcs; Z +9.966σ) | CMS Medicare Part B (NY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Smithtown, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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