DR. DAVID DOUGHERTY M.D.
NPI 1104261445
Internal Medicine - Infectious Disease in Lexington, KY

Q: What is David Dougherty's NPI number?

The NPI number for David Dougherty is 1104261445. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Q: What is David Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for David Dougherty was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment

83.77/100

CMS Quality Rating

1720 NICHOLASVILLE RD STE 602, LEXINGTON, KY 40503(859) 277-4005(859) 278-2507 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2018, Mar 17, 2018 (2 updates tracked since 2018).

On this page

About Dr. David Dougherty M.d. NPPES

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

DR. DAVID DOUGHERTY M.D. (NPI 1104261445) is an individual infectious disease provider in Lexington, Kentucky, licensed in Kentucky (50868) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104261445

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. DAVID DOUGHERTYCredential: M.D.

Location Address1720 NICHOLASVILLE RD STE 602Lexington, KY 40503-1488

Mailing Address1161 21st Ave SNashville, TN 37232-2605 · (615) 322-2035 · Fax (615) 343-6160

Phone(859) 277-4005

Fax(859) 278-2507

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013

Enumeration DateApril 30, 2013

Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration

✔ NPI 1104261445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in KY · 50868✔ Licensed in TN · 55687

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1720 NICHOLASVILLE RD STE 602, Lexington, KY 40503

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Secondary Practice Locations 2

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (859) 552-6611

Location 21161 21st Ave SNashville, TN 37232-1900 · Phone (615) 322-2035 · Fax (615) 343-6160

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

Dr. David 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 ID2567603947

PECOS Enrollment IDI20180608000857

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 13

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.

Injection, daptomycin, 1 mg J0878

Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.

44,149 services31 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

612 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

596 services149 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

267 services88 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

218 services82 patients

Injection, ertapenem sodium, 500 mg J1335

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

196 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

137 services46 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

112 services106 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

44 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services32 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 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.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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.

83.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.7

Improvement Activities

Cost

57.63

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

37%38 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. ANDREA BANKS MD

Internal Medicine (Infectious Disease)

1720 NICHOLASVILLE RD STE 602
LEXINGTON, KY 40503

Fayette County (859) 277-4005

ANDREW JAMES ALEXANDER MD

Internal Medicine (Infectious Disease)

1720 NICHOLASVILLE RD STE 602
LEXINGTON, KY 40503

Fayette County (859) 277-4005

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 David Dougherty's NPI number?

The NPI number for David Dougherty is 1104261445. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is David Dougherty located?

David Dougherty practices at 1720 Nicholasville Rd Ste 602, Lexington, KY 40503. The listed phone number is (859) 277-4005.

What is David Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is David Dougherty enrolled in Medicare?

Yes. David 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.

Is David Dougherty affiliated with any hospitals?

According to CMS data, David Dougherty is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for David Dougherty was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.