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MR. PAUL J DOUGHERTY M.D.
NPI 1083744775
Ophthalmology in Westlake Village, CA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
4.41/100
CMS Quality Rating
4353 PARK TERRACE DR, STE 150, WESTLAKE VILLAGE, CA 91361(805) 987-5300(818) 707-7668 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul J Dougherty M.d. NPPES

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

MR. PAUL J DOUGHERTY M.D. (NPI 1083744775) is an individual ophthalmology provider in Westlake Village, California, licensed in California (G70688) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1989).

NPPES Registry Identity

NPI1083744775
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. PAUL J DOUGHERTYCredential: M.D.
Location Address4353 PARK TERRACE DR, STE 150Westlake Village, CA 91361-4631
Mailing Address4353 Park Terrace Dr, Ste 150Westlake Village, CA 91361-4631 · (805) 987-5300 · Fax (818) 707-7668
Phone(805) 987-5300
Fax(818) 707-7668
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1989
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1083744775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G70688
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4353 PARK TERRACE DR, Westlake Village, CA 91361
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Other Identifiers 1

Medicaid00G706880CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Mr. Paul J Dougherty 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 ID9436141520
PECOS Enrollment IDI20040422000802
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 10

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
456 services272 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
366 services229 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
355 services342 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
338 services331 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
291 services290 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
261 services185 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

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.

4.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost14.7

Other Providers at the Same Location NPPES 3

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

MARGIT CRAIG O.D.
Optometrist
4353 PARK TERRACE DR, STE 150
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 987-5300
DR. RYAN STEPHEN VIDA O.D
Optometrist
4353 PARK TERRACE DR, STE 150
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 987-5300
DLV VISION, INC
Optometrist
4353 PARK TERRACE DR, SUITE 150
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 987-5300

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 Paul Dougherty's NPI number?

The NPI number for Paul Dougherty is 1083744775. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Paul Dougherty located?

Paul Dougherty practices at 4353 Park Terrace Dr Ste 150, Westlake Village, CA 91361. The listed phone number is (805) 987-5300.

What is Paul Dougherty's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Dougherty enrolled in Medicare?

Yes. Paul 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 Paul Dougherty accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Paul 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 Paul Dougherty was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.