1. Home
  2. Directory
  3. Florida
  4. Merritt Island
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL JAMES DOUGHERTY MD
NPI 1245735133
Family Medicine in Merritt Island, FL

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
450 E MERRITT ISLAND CSWY # 600, MERRITT ISLAND, FL 32952(321) 452-4442(321) 452-9138 Get Directions Write a Review

NPPES record last updated: September 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2026, Sep 7, 2024, Mar 24, 2018 (3 updates tracked since 2018).

About Dr. Michael James Dougherty Md NPPES

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

DR. MICHAEL JAMES DOUGHERTY MD (NPI 1245735133) is an individual family medicine provider in Merritt Island, Florida, licensed in Florida (ME148451) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245735133
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL JAMES DOUGHERTYCredential: MD
Location Address450 E MERRITT ISLAND CSWY # 600Merritt Island, FL 32952-3503
Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774
Phone(321) 452-4442
Fax(321) 452-9138
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateSeptember 6, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2026
✔ NPI 1245735133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME148451
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.
450 E MERRITT ISLAND CSWY # 600, Merritt Island, FL 32952
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Michael James 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 ID2769731660
PECOS Enrollment IDI20211104000265
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 Michael Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc.
3.8 mi
Urology
1317 W POINT DR
Cocoa, FL 32922
  • Reassigned Medicare billing, Florida enrollment
  • 254 clinicians in this Medicare group
NPI 1104367630 (615) 467-4158
Rhg Of Florida PA
41 mi
Family Medicine
13836 US HIGHWAY 1
Sebastian, FL 32958
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
NPI 1932926169 (615) 672-7122
Millennium Physician Group LLC
144 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774

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 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.
565 services386 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
178 services178 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.
105 services93 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.
29 services29 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Dougherty's NPI number?

The NPI number for Michael Dougherty is 1245735133. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Michael Dougherty located?

Michael Dougherty practices at 450 E Merritt Island Cswy # 600, Merritt Island, FL 32952. The listed phone number is (321) 452-4442.

What is Michael Dougherty's specialty?

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

Is Michael Dougherty enrolled in Medicare?

Yes. Michael 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 Michael Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Dougherty reassigns Medicare benefits to 3 organizations: Steward Medical Group, Inc. (Cocoa, FL), Rhg Of Florida PA (Sebastian, FL) and Millennium Physician Group LLC (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 Michael Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Dougherty accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michael 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.

Is Michael Dougherty affiliated with any hospitals?

According to CMS data, Michael Dougherty is affiliated with Holmes Regional Medical Center, Parrish Medical Center, Cape Canaveral Hospital, Melbourne Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Michael Dougherty was last updated on September 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.