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WILLIAM M DOUGHERTY MD
NPI 1174968440
Otolaryngology - Plastic Surgery within the Head & Neck in Norfolk, VA

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
600 GRESHAM DR STE 1100, NORFOLK, VA 23507(757) 388-6200(757) 388-6201 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2018, May 8, 2018 (2 updates tracked since 2018).

About William M Dougherty Md NPPES

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

WILLIAM M DOUGHERTY MD (NPI 1174968440) is an individual plastic surgery within the head & neck provider in Norfolk, Virginia, licensed in Virginia (0101267145) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of University Of Kentucky College Of Medicine (2013).

NPPES Registry Identity

NPI1174968440
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameWILLIAM M DOUGHERTYCredential: MD
Location Address600 GRESHAM DR STE 1100Norfolk, VA 23507-1904
Mailing AddressPo Box 936Norfolk, VA 23501-0936 · (757) 388-6200 · Fax (757) 388-6201
Phone(757) 388-6200
Fax(757) 388-6201
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateMay 1, 2013
Last NPPES UpdateJune 27, 20192 updates tracked since enumeration
✔ NPI 1174968440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in VA · 0101267145
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
600 GRESHAM DR STE 1100, Norfolk, VA 23507
Open in Google Maps ↗

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

William M Dougherty Md 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 ID3870720550
PECOS Enrollment IDI20190806003990
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 William Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Specialty Group PLLC
0.1 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007
Evms Academic Physicians And Surgeons Health Services Foundation
1.4 mi
Internal Medicine
4111 MONARCH WAY, SUITE 500
Norfolk, VA 23508
  • Reassigned Medicare billing, Virginia enrollment
  • 267 clinicians in this Medicare group
NPI 1003887118 (757) 451-6200
University Professional Services
2,427 mi
Multi-Specialty
2858 EBERLEIN AVE
Klamath Falls, OR 97603
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1659605707 (503) 494-9000

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 7

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
55 services51 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.
47 services47 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.
38 services35 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.
29 services27 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
24 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

ALEXANDRIA FRANCES MATZ AU.D., CCC-A
Audiologist
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
EMILY ELIZABETH WIKNER MD
Otolaryngology
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
DR. ROBERT MARTIN FREDERICK II MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
CHRISTOPHER YAM MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6229
BENJAMIN JOSEPH RUBINSTEIN MD
Otolaryngology
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
DR. ASHLEY ANDERS SCHROEDER MD
Otolaryngology
600 GRESHAM DR STE 1100, EVMS MEDICAL GROUP
NORFOLK, VA 23507
Norfolk City (757) 388-6200
ASHLEY TROMBLAY PA-C
Physician Assistant
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
ERIC J DOBRATZ MD
Otolaryngology (Facial Plastic Surgery)
600 GRESHAM DR STE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200

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 William Dougherty's NPI number?

The NPI number for William Dougherty is 1174968440. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is William Dougherty located?

William Dougherty practices at 600 Gresham Dr Ste 1100, Norfolk, VA 23507. The listed phone number is (757) 388-6200.

What is William Dougherty's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is William Dougherty enrolled in Medicare?

Yes. William 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 William Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Dougherty reassigns Medicare benefits to 3 organizations: Childrens Specialty Group PLLC (Norfolk, VA), Evms Academic Physicians And Surgeons Health Services Foundation (Norfolk, VA) and University Professional Services (Klamath Falls, OR). 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 William Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is William Dougherty affiliated with any hospitals?

According to CMS data, William Dougherty is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Obici Hospital and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for William Dougherty was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.