DR. KEVIN RUSSELL DOUGHERTY M.D.
NPI 1114188711
Internal Medicine - Cardiovascular Disease in Hartford, CT

Q: What is Kevin Dougherty's NPI number?

The NPI number for Kevin Dougherty is 1114188711. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Kevin Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Dougherty was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

85 SEYMOUR ST, SUITE 719, HARTFORD, CT 06106(860) 522-0604(860) 522-1761 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Kevin Russell Dougherty M.d. NPPES

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

DR. KEVIN RUSSELL DOUGHERTY M.D. (NPI 1114188711) is an individual cardiovascular disease provider in Hartford, Connecticut, licensed in Connecticut (52940) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2008).

NPPES Registry Identity

NPI1114188711

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KEVIN RUSSELL DOUGHERTYCredential: M.D.

Location Address85 SEYMOUR ST, SUITE 719Hartford, CT 06106-5501

Mailing Address305 Western Blvd, Suite 100Glastonbury, CT 06033-4380 · (860) 522-0604 · Fax (860) 522-1761

Phone(860) 522-0604

Fax(860) 522-1761

Sole ProprietorYes

Medical School CMSTufts University School Of MedicineGraduated 2008

Enumeration DateJune 17, 2008

Last NPPES UpdateMay 20, 2015

✔ NPI 1114188711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in CT · 52940✔ Licensed in MA · 247283

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

85 SEYMOUR ST, Hartford, CT 06106

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Other Identifiers 2

Medicare PIND400156763CT

OtherC00585CT · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Dr. Kevin Russell 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 ID4486871530

PECOS Enrollment IDI20140813001262

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 Reassignments

Medicare enrollment records show Kevin Dougherty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consulting Cardiologists, P.C.

Same address

Cardiovascular Disease

85 SEYMOUR ST, SUITE 719
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
Medicare enrollment name: Consulting Cardiologists PC
21 clinicians in this Medicare group

NPI 1053353656 (860) 522-0604

Hartford Healthcare Medical Group Specialists, PLLC

Same address

Surgery

85 SEYMOUR ST STE 415
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
1,921 clinicians in this Medicare group

NPI 1023584216 (860) 246-2071

Hartford Hospital

0.1 mi

General Acute Care Hospital

80 SEYMOUR ST
Hartford, CT 06102

Reassigned Medicare billing, Connecticut enrollment
1,333 clinicians in this Medicare group

NPI 1770696643 (860) 696-6010

Connecticut Heart Physicians, Inc.

7.1 mi

Cardiovascular Disease

835 BLOOMFIELD AVE
Windsor, CT 06095

Reassigned Medicare billing, Connecticut enrollment
34 clinicians in this Medicare group

NPI 1477588002 (860) 688-0033

Midstate Medical Center

15 mi

General Acute Care Hospital

435 LEWIS AVE
Meriden, CT 06451

Reassigned Medicare billing, Connecticut enrollment
505 clinicians in this Medicare group

NPI 1154425288 (860) 696-6287

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

715 services551 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.

594 services475 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

528 services448 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

134 services131 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

108 services33 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

107 services32 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

97 services95 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.

72 services72 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.

56 services36 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.

50 services44 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.

41 services41 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

30 services30 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

27 services27 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

27 services27 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

27 services27 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.

25 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

24 services24 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

19 services19 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.

15 services14 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional 93268

An Electrocardiogram (ECG) is a non-invasive test that records the heart's electrical activity. With continuous monitoring for up to 30 days, it helps detect irregularities or abnormalities. If symptoms occur, they're noted for review. A health professional then analyzes the data and provides a report.

12 services12 patients

Ultrasound of leg arteries at rest and after exercise 93924

An ultrasound of leg arteries at rest and after exercise involves using sound waves to create images of the blood vessels in your legs. This helps to detect blockages or narrowing. You'll rest, then perform light exercise, and images are taken before and after to compare blood flow.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

84.47/100

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

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

100

Improvement Activities

Cost

59.59

Reported Quality Measures

Breast Cancer Screening

0%731 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

7%127 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

0%1,638 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

79%1,050 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

82%66 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%260 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

92%3,413 patients4/55-star benchmark: 100%

e-Prescribing

99%1,540 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

22%2,615 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%1,270 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 85% · 837 patients

Patients screened: 89% · 837 patients

8%38 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%785 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89%1,322 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,763 patients

Patients totalRate: 0% · 1,763 patients

0%1,763 patients5/55-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 20

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

LEIGH MAE CABRAL DMD

Dentist (General Practice)

85 SEYMOUR ST, SUITE 922
HARTFORD, CT 06106

Capitol Planning Region (860) 518-5185

DR. JOHN P. OPALACZ M.D.

Radiology (Diagnostic Radiology)

85 SEYMOUR ST, SUITE 200
HARTFORD, CT 06106

Capitol Planning Region (860) 289-3375

JAMES JOSEPH GALLAGHER JR. MD

Surgery (Vascular Surgery)

85 SEYMOUR ST, SUITE 409
HARTFORD, CT 06106

Capitol Planning Region (860) 522-4158

DR. SAMUEL K ANYATONWU MD

Internal Medicine

85 SEYMOUR ST, SUITE 1009
HARTFORD, CT 06106

Capitol Planning Region (860) 728-6674

JOHN RUSSOMANNO MD

Internal Medicine (Pulmonary Disease)

85 SEYMOUR ST, SUITE 923
HARTFORD, CT 06106

Capitol Planning Region (860) 247-1876

CONNECTICUT GI PLLC

Internal Medicine (Gastroenterology)

85 SEYMOUR ST, 1000
HARTFORD, CT 06106

Capitol Planning Region (860) 246-2571

ISABEL NIP

Student in an Organized Health Care Education/Training Program

85 SEYMOUR ST
HARTFORD, CT 06106

Capitol Planning Region (860) 972-5107

EMILY PERROTTI RN

Registered Nurse

85 SEYMOUR ST
HARTFORD, CT 06106

Capitol Planning Region (860) 972-0200

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 Kevin Dougherty's NPI number?

The NPI number for Kevin Dougherty is 1114188711. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Kevin Dougherty located?

Kevin Dougherty practices at 85 Seymour St Suite 719, Hartford, CT 06106. The listed phone number is (860) 522-0604.

What is Kevin Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kevin Dougherty enrolled in Medicare?

Yes. Kevin 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.

Which organizations bill Medicare for Kevin Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Dougherty reassigns Medicare benefits to 5 organizations: Consulting Cardiologists, P.C. (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Hospital (Hartford, CT), Connecticut Heart Physicians, Inc. (Windsor, CT) and Midstate Medical Center (Meriden, CT). 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 Kevin Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Dougherty accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin 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 Kevin Dougherty was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.