With my son, they (midwives) told me Oct 5. I told them I thought closer to the 15th. The ultrasound said 14th. They said "since it's within 2 weeks of your due date, we're not changing it since it can go two weeks either way". They had me scheduled for induction two weeks after my due date, but since it was on a Saturday, they moved it to the 17th (instead of 19th). I went in labor on my own late on the 16th going into the 17th and had him that afternoon.
With my daughter, they (doctors) told me Dec 10th. I think the US said Dec. 7th which was pretty much the same and right in line with what I thought and close enough that we stuck with the 10th. Then due to GD, I was scheduled for induction just before (6th) but I went in labor on my own on the 3rd (early labor) and more actively on the 4th. Still less than a week from my "due date".
My sister was pregant at the same time as my 2nd pregnancy. She found out almost immediately that she was pregnant (they were trying) and because of the positive test and her rush to get in with the doctor, they were using her menstral cycle for due date (which is a good starting point). They started checking her levels early and they weren't rising like they wanted. Multiple US...first was showing barely anything so they thought "possible miscarriage" and scared her to death. Rather than saying, based on size, your due date isn't Jan 16th but rather maybe a week or two later. Due to complications (with her, not the baby), they induced her on Jan 2 and had to do an emergency C-section on the 3rd. He had to spend a week or so in the NICU...guess what...he was a preemie. Had his due date really been 16th he may have been small but woulnd't have had the problems he had (still has). I realize that due to her complications they still would have done the C-section but they really put a lot of stress on her early on all because they wouldn't use common sense and adjust the due date.
We actually used the same group of doctors but the one she primarily saw was one that I did not care for. I went in labor on his watch and was in labor all day and they never checked my glucose levels (even though I had a long lasting insulin injection that morning). Due to labor my levels had actually risen rather than dropping but he didnt' know that and my doctor was not happy when he came on duty before I delivered.
My point being that they tend to use your cycle as a guesstimate at first. They confirm with US. If they are within 2 weeks of each other, they don't normally change the date.
One of the things I've learned is that the earlier the US is done, the more accurate it is on determining gestational age/due date (which is still just a guestimate but it often closer than using your menstral cycle). Obviously, there are other factors that can make you go early or late but that is the best way to get your "due date". The ones done later tend to be based on size and since all babies are born at different size and weights are less accurate for due date purposes.
The other thing I have learned is that each doctor has different ways of approaching things.
It could be that the doctor isn't changing her date per say but rather she has latched onto dates that US have indicated.