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THOMAS PATRICK DOUGHERTY D.M.D.
NPI 1043374515
Dentist - Oral and Maxillofacial Surgery in Wilmington, DE

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
5317 LIMESTONE RD, WILMINGTON, DE 19808(302) 239-2500(302) 239-0550 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Patrick Dougherty D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS PATRICK DOUGHERTY D.M.D. (NPI 1043374515) is an individual oral and maxillofacial surgery provider in Wilmington, Delaware, licensed in Delaware (G10000905) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1043374515
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHOMAS PATRICK DOUGHERTYCredential: D.M.D.
Location Address5317 LIMESTONE RDWilmington, DE 19808-1252
Mailing Address5317 Limestone RdWilmington, DE 19808-1035 · (302) 239-2500
Phone(302) 239-2500
Fax(302) 239-0550
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 13, 2008
✔ NPI 1043374515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in DE · G10000905
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5317 LIMESTONE RD, Wilmington, DE 19808
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Other Identifiers 3

Other54490CT · Aetna
Medicaid0000912501DE
Medicare PING02836T01DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Patrick Dougherty D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921178559
PECOS Enrollment IDI20080609000253
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Simple drainage of abscess, cyst, or blood accumulation of mouth 40800
This procedure involves the removal of fluid or pus from an abscess, cyst, or blood accumulation in the mouth. It's done by making a small incision, then gently draining the contents. This helps alleviate pain and promotes healing. It's a common, safe procedure.
120 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients
Complicated drainage of abscess, cyst, or blood accumulation of mouth 40801
This procedure involves the careful removal of abnormal fluid collections, like pus or blood, from the mouth. It can be required for various reasons, such as an abscess, cyst, or blood accumulation. The process is performed under local anesthesia to minimize discomfort.
48 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIBS ON MASSAGE
Mechanotherapist
5317 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 239-1613
DR. DAVID BENEDICT NIBOUAR DMD
Dentist (General Practice)
5317 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 239-0502
DR. HOPE DIANE THOMAS-GLAVIN DDS
Dentist (General Practice)
5317 LIMESTONE RD, SUITE 2
WILMINGTON, DE 19808
New Castle County (302) 239-6677
DAVID B. NIBOUAR, DMD, PA
Dentist (General Practice)
5317 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 239-0502
THOMAS P DOUGHERTY ORAL MAXILLOFACIAL SURGERY PA
Dentist (Oral and Maxillofacial Surgery)
5317 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 239-2500
DR. ANNE PAULINE ANNONE DMD
Dentist (General Practice)
5317 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 239-0502
DR. DAVID S. WILLIAMS DMD
Dentist (General Practice)
5317 LIMESTONE RD, SUITE 101
WILMINGTON, DE 19808
New Castle County (302) 239-5272
SAQIB USMANI D.M.D.
Dentist (General Practice)
5317 LIMESTONE RD, SUITE #2
WILMINGTON, DE 19808
New Castle County (302) 239-6677

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 Thomas Dougherty's NPI number?

The NPI number for Thomas Dougherty is 1043374515. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Thomas Dougherty located?

Thomas Dougherty practices at 5317 Limestone Rd, Wilmington, DE 19808. The listed phone number is (302) 239-2500.

What is Thomas Dougherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Dougherty enrolled in Medicare?

Yes. Thomas Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Dougherty accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Thomas Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Dougherty was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.