JOHN MICHAEL DOUGHTON M.D.
NPI 1043621246
Family Medicine in Rochester, NY
About John Michael Doughton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MICHAEL DOUGHTON M.D. (NPI 1043621246) is an individual family medicine provider in Rochester, New York, licensed in New York (325587) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Alabama School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Michael Doughton 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Doughton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 465 clinicians in this Medicare group
South Boston, VA 24592
- Reassigned Medicare billing, North Carolina enrollment
- 2,797 clinicians in this Medicare group
Siler City, NC 27344
- Reassigned Medicare billing, North Carolina enrollment
- 234 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Highland Hospital
Acute Care Hospitals · Rochester, NYStrong Memorial Hospital
Acute Care Hospitals · Rochester, NYUnc Hospitals
Acute Care Hospitals · Chapel Hill, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ROCHESTER, NY 14620
ROCHESTER, NY 14620
ROCHESTER, NY 14620
ROCHESTER, NY 14620
ROCHESTER, NY 14620
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 John Doughton's NPI number?
The NPI number for John Doughton is 1043621246. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is John Doughton located?
John Doughton practices at 777 Clinton Ave S, Rochester, NY 14620. The listed phone number is (585) 279-4800.
What is John Doughton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Doughton enrolled in Medicare?
Yes. John Doughton 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.
Which organizations bill Medicare for John Doughton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Doughton reassigns Medicare benefits to 3 organizations: Highland Hospital Of Rochester (Rochester, NY), University Of North Carolina At Chapel Hill (South Boston, VA) and Chatham Hospital, Inc. (Siler City, NC). 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 John Doughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Doughton affiliated with any hospitals?
According to CMS data, John Doughton is affiliated with Highland Hospital, Strong Memorial Hospital and Unc Hospitals.
When was this NPI record last updated?
The NPPES record for John Doughton was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Michael Doughton, M.D. · NPI 1043621246
Family Medicine physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1043621246 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 325587 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 777 CLINTON AVE S, Rochester, NY 14620-1448
- **Phone:** (585) 279-4800 · **Fax:** (585) 442-8319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Highland Hospital Of Rochester (NPI 1972548568, Rochester, NY); University Of North Carolina At Chapel Hill (NPI 1407308703, South Boston, VA); Chatham Hospital, Inc. (NPI 1689967457, Siler City, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043621246) · Data from the CMS NPPES public registry.