1. Home
  2. Directory
  3. Florida
  4. Cape Coral
  5. Emergency Medicine
  6. NPI Profile

TIMOTHY DOUGHERTY
NPI 1164487344
Emergency Medicine in Cape Coral, FL

Active since April 19, 2006PECOS Enrolled
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990(239) 772-6513 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Dougherty NPPES

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

TIMOTHY DOUGHERTY (NPI 1164487344) is an individual emergency medicine provider in Cape Coral, Florida, licensed in Florida (ME76221) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164487344
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY DOUGHERTY
Location Address636 DEL PRADO BLVD SCape Coral, FL 33990-2668
Mailing Address6896 W Snowville RdBrecksville, OH 44141-3214
Phone(239) 772-6513
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateJanuary 3, 2008
✔ NPI 1164487344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME76221
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
636 DEL PRADO BLVD S, Cape Coral, FL 33990
Open in Google Maps ↗

Other Identifiers 7

Other7939666FL · Aetna
Medicare UPING27820FL
Medicare PINP00391436FL
Other221582FL · Amerigroup
Medicare ID-Type UnspecifiedE0833ZFL
Other44660FL · Blue Cross Blue Shield
Medicare PINE0833YFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Dougherty 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Coral Emergency Physicians LLC
Same address
Emergency Medicine
636 DEL PRADO BLVD S
Cape Coral, FL 33990
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group
NPI 1376611962 (239) 772-6513
Lee Memorial Health System
4.3 mi
Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1134222532 (239) 334-5244
Lee Health System Inc
9.3 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
390 services376 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.
336 services323 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.
89 services89 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

THOMAS HOFMANN LCSW CEAP CPP
Counselor (Mental Health)
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 343-9180
DR. JOSEPH ZWILLENBERG MD
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (215) 290-4162
PATRICK DUMITRESCU MD
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S, LEE HEALTH-CAPE CORAL HOSPITAL
CAPE CORAL, FL 33990
Lee County (239) 424-1655
TUCKER GREENE
Emergency Medicine
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 772-6513
MARILYN JEAN FISHER CRNA
Nurse Anesthetist, Certified Registered
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-2000
AYBIKE ATAK SEKERCI
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-3161
KRISTEN JEANINE NEARING PA
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-3513
MR. ALEXANDER GREGORY WAELCHLI PA
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Lee County (239) 424-2000

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 Timothy Dougherty's NPI number?

The NPI number for Timothy Dougherty is 1164487344. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Timothy Dougherty located?

Timothy Dougherty practices at 636 Del Prado Blvd S, Cape Coral, FL 33990. The listed phone number is (239) 772-6513.

What is Timothy Dougherty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Dougherty enrolled in Medicare?

Yes. Timothy Dougherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dougherty reassigns Medicare benefits to 3 organizations: Cape Coral Emergency Physicians LLC (Cape Coral, FL), Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). 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 Timothy Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Dougherty was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.