CAROLYN M DOHERTY MD
NPI 1003862350
Otolaryngology in Colton, CA
About Carolyn M Doherty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN M DOHERTY MD (NPI 1003862350) is an individual otolaryngology provider in Colton, California, licensed in California (G61638) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn M Doherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Carolyn Doherty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 89 clinicians in this Medicare group
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 532 clinicians in this Medicare group
Gilroy, CA 95020
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLTON, CA 92324
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carolyn Doherty's NPI number?
The NPI number for Carolyn Doherty is 1003862350. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Carolyn Doherty located?
Carolyn Doherty practices at 400 N Pepper Ave Mob Suite 308, Colton, CA 92324. The listed phone number is (909) 580-3353.
What is Carolyn Doherty's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Carolyn Doherty enrolled in Medicare?
Yes. Carolyn Doherty is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carolyn Doherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Doherty reassigns Medicare benefits to 4 organizations: Jeffrey N. Roberts MD A Medical Corporation (Colton, CA), Cal Med Physicians And Surgeons, Inc. (Colton, CA), Kern County Hospital Authority (Bakersfield, CA) and County Of Santa Clara (Gilroy, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carolyn Doherty was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carolyn M Doherty, MD · NPI 1003862350
Otolaryngology physician in Colton, California. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1003862350 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** G61638 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, MOB SUITE 308, Colton, CA 92324-1801
- **Phone:** (909) 580-3353 · **Fax:** (909) 580-1363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jeffrey N. Roberts MD A Medical Corporation (NPI 1780206813, Colton, CA); Cal Med Physicians And Surgeons, Inc. (NPI 1316054737, Colton, CA); Kern County Hospital Authority (NPI 1376623538, Bakersfield, CA); County Of Santa Clara (NPI 1922093533, Gilroy, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003862350) · Data from the CMS NPPES public registry.