DR. VICTORIA QUINCY DAUGHERTY D.D.S.
NPI 1174537781
Dentist - General Practice in Saint Louis, MO

Active since July 28, 2006Opted out of Medicare · through Sep 13, 2027
950 FRANCIS PL STE 305, SAINT LOUIS, MO 63105(314) 862-7844 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Victoria Quincy Daugherty D.d.s. NPPES

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

DR. VICTORIA QUINCY DAUGHERTY D.D.S. (NPI 1174537781) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2005040680) and active in the NPI registry since July 2006. She has opted out of Medicare through September 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174537781
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VICTORIA QUINCY DAUGHERTYCredential: D.D.S.
Location Address950 FRANCIS PL STE 305Saint Louis, MO 63105-2465
Mailing Address950 Francis Pl Ste 305Saint Louis, MO 63105-2465 · (314) 862-7844
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 22, 2015
NPI 1174537781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2005040680
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

950 FRANCIS PL STE 305, Saint Louis, MO 63105

Other Identifiers 1

Other431578311MO · Tax Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Victoria Quincy Daugherty D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2013 through September 13, 2027.

Opt-Out Effective DateSeptember 13, 2013
Opt-Out In Effect ThroughSeptember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63105 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES

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

Dentist (Dentist Anesthesiologist)
950 FRANCIS PL STE 305
SAINT LOUIS, MO 63105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174537781, enumerated as an "individual" on July 28, 2006.

The provider is located at 950 FRANCIS PL STE 305 SAINT LOUIS, MO 63105 and the phone number is (314) 862-7844.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.