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DR. JOHN DAUGHERTY M.D.
NPI 1164409652
Family Medicine in Roanoke, VA

Active since December 27, 2005PECOS Enrolled
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012(540) 265-1607(540) 366-7353 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Daugherty M.d. NPPES

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

DR. JOHN DAUGHERTY M.D. (NPI 1164409652) is an individual family medicine provider in Roanoke, Virginia, licensed in Virginia (0101030455) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164409652
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN DAUGHERTYCredential: M.D.
Location Address4910 VALLEY VIEW BLVD NWRoanoke, VA 24012-2040
Mailing Address4910 Valley View Blvd NwRoanoke, VA 24012-2040 · (540) 265-1607 · Fax (540) 366-7353
Phone(540) 265-1607
Fax(540) 366-7353
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1164409652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101030455
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4910 VALLEY VIEW BLVD NW, Roanoke, VA 24012
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Other Identifiers 2

Medicare UPINC47276VA
Medicare ID-Type Unspecified00W692L18VA · Richmond Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Daugherty M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24012 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
40%964 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
84%491 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,563 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%6,514 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
88%804 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
66%190 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%89 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
70%2,770 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
68%805 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%1,776 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,770 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
75%2,770 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%2,770 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
97%117 patients
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 17

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

SAMANTHA SMART FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
LEWIS-GALE PHYSICIANS, LLC
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. SERGE E DEPRET-GUILLAUME M.D.
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-4210
HEATHER MICHELLE BALL PA-C
Physician Assistant
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. LARRY PATTON MD
Dermatology
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1604
DR. JOSHUA SCHUYLER SLAKMAN DO
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
LAVONNE PRUITT FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW, SUITE 310
ROANOKE, VA 24012
Roanoke City (540) 362-0360
DR. KAYLA TREVILLIAN DNP, FNP-C
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 362-0360

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 Daugherty's NPI number?

The NPI number for John Daugherty is 1164409652. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is John Daugherty located?

John Daugherty practices at 4910 Valley View Blvd NW, Roanoke, VA 24012. The listed phone number is (540) 265-1607.

What is John Daugherty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Daugherty enrolled in Medicare?

Yes. John Daugherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.