DR. STEPHEN C DOUGHTY MD
NPI 1255327631
Internal Medicine - Infectious Disease in Peoria Heights, IL

Q: What is Stephen Doughty's NPI number?

The NPI number for Stephen Doughty is 1255327631. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Stephen Doughty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Doughty was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

1120 E WAR MEMORIAL DR, PEORIA HEIGHTS, IL 61616(888) 220-6432(630) 654-4253 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Stephen C Doughty Md NPPES

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

DR. STEPHEN C DOUGHTY MD (NPI 1255327631) is an individual infectious disease provider in Peoria Heights, Illinois, licensed in Illinois (036-055284) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1972).

NPPES Registry Identity

NPI1255327631

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. STEPHEN C DOUGHTYCredential: MD

Location Address1120 E WAR MEMORIAL DRPeoria Heights, IL 61616-7757

Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0872 · (888) 220-6432 · Fax (630) 654-4253

Phone(888) 220-6432

Fax(630) 654-4253

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1972

Enumeration DateSeptember 21, 2005

Last NPPES UpdateMay 13, 2015

✔ NPI 1255327631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in IL · 036-055284

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1120 E WAR MEMORIAL DR, Peoria Heights, IL 61616

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Other Identifiers 4

Medicare PINL99272IL

Medicare PINL97954IL

Medicaid036-055-284IL

Medicare UPINC37682IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Insurance 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. Stephen C Doughty 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 ID42353096

PECOS Enrollment IDI20100130000008

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

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

Osf Multi-Specialty Group

6.3 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Metro Infectious Disease Consultants LLC

35 mi

Infectious Disease

1300 FRANKLIN AVENUE, SUTIE 230C
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
122 clinicians in this Medicare group

NPI 1811154354 (888) 220-6432

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 6

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

2,160 services32 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

750 services11 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

63 services30 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

59 services39 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

30 services15 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61616 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 9

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

DR. JUMUNA PATEL MD

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