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JOHN CLARK DAUGHERTY MD
NPI 1255072914
General Practice in Cincinnati, OH

Active since April 06, 2022PECOS Enrolled
4777 E GALBRAITH RD, CINCINNATI, OH 45236(513) 686-5446(513) 686-6868 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Clark Daugherty Md NPPES

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

JOHN CLARK DAUGHERTY MD (NPI 1255072914) is an individual general practice provider in Cincinnati, Ohio, licensed in Ohio (35.149045) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255072914
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHN CLARK DAUGHERTYCredential: MD
Location Address4777 E GALBRAITH RDCincinnati, OH 45236-2725
Mailing Address5450 Windridge CtColumbia Township, OH 45243-2967
Phone(513) 686-5446
Fax(513) 686-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1255072914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 35.149045
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4777 E GALBRAITH RD, Cincinnati, OH 45236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Clark Daugherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799149001
PECOS Enrollment IDI20260407003368, I20260424002970
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

2

Medicare enrollment records show John Daugherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
820 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
820 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JEWISH HOSPITAL LLC
Pharmacy (Community/Retail Pharmacy)
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5678
MONTGOMERY HOSPITALISTS LLC
Hospitalist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5445
NICOLE LUTHER MD
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5446
CHIRAG TRIVEDI MD
General Practice
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-6860
MACKENZIE RENZ
Pharmacist
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-5051
JEREMY SAULD DO
Internal Medicine
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-6868
DAWOOD KHAN
Student in an Organized Health Care Education/Training Program
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 307-1698
MR. KUN LEE MD
Anesthesiology
4777 E GALBRAITH RD
CINCINNATI, OH 45236
Hamilton County (513) 686-3000

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 1255072914. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is John Daugherty located?

John Daugherty practices at 4777 E Galbraith Rd, Cincinnati, OH 45236. The listed phone number is (513) 686-5446.

What is John Daugherty's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Daugherty enrolled in Medicare?

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

Which organizations bill Medicare for John Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Daugherty reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 John Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Daugherty accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list John Daugherty 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.

When was this NPI record last updated?

The NPPES record for John Daugherty was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.