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ERIN JEANNE DOUGHERTY DMD
NPI 1043565807
Dentist in Saint Petersburg, FL

Active since July 18, 2012PECOS Enrolled
1344 22ND ST S, SAINT PETERSBURG, FL 33712(727) 824-8181 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Nov 7, 2022, Oct 23, 2022 and 1 more (4 updates tracked since 2018).

About Erin Jeanne Dougherty Dmd NPPES

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

ERIN JEANNE DOUGHERTY DMD (NPI 1043565807) is an individual dentist in Saint Petersburg, Florida, licensed in Florida (DN19885) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2012).

NPPES Registry Identity

NPI1043565807
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameERIN JEANNE DOUGHERTYCredential: DMD
Location Address1344 22ND ST SSaint Petersburg, FL 33712-2744
Mailing Address14100 58th St NClearwater, FL 33760-9900 · (727) 824-8181
Phone(727) 824-8181
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1043565807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN19885
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1344 22ND ST S, Saint Petersburg, FL 33712
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Jeanne Dougherty Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921591678
PECOS Enrollment IDI20251202002444
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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Pinellas Inc
Same address
Federally Qualified Health Center (FQHC)
1344 22ND ST S
St Petersburg, FL 33712
  • Reassigned Medicare billing, Florida enrollment
  • 131 clinicians in this Medicare group
NPI 1194283382 (727) 824-8181

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 33712 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

NIKOLE RAE ORTA ARNP
Nurse Practitioner
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8181
SHARLA WALKER NP
Nurse Practitioner (Pediatrics)
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8181
SHANE GAIK ARNP
Nurse Practitioner (Family)
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 821-6701
KRISTEN L BABBS P.A.
Physician Assistant
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8181
SARAH ELIZABETH HOLTJE LCSW
Social Worker (Clinical)
1344 22ND ST S
SAINT PETERSBURG, FL 33712
Pinellas County (727) 824-8181
JAN F DELASSEN
Dentist (General Practice)
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8177
CALLIE ASHLOCK CNM, APRN
Nurse Practitioner
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8181
COMMUNITY HEALTH CENTER OF PINELLAS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1344 22ND ST S
ST PETERSBURG, FL 33712
Pinellas County (727) 824-8181

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 Erin Dougherty's NPI number?

The NPI number for Erin Dougherty is 1043565807. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Erin Dougherty located?

Erin Dougherty practices at 1344 22nd St S, Saint Petersburg, FL 33712. The listed phone number is (727) 824-8181.

What is Erin Dougherty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Erin Dougherty enrolled in Medicare?

Yes. Erin Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erin Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Dougherty reassigns Medicare benefits to Community Health Center Of Pinellas Inc (St Petersburg, FL). The 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 Erin Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Dougherty accept?

Health plans from Ambetter Health, Ambetter 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 9 other insurers list Erin 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 Erin Dougherty was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.