DR. JOHN CHRISTOPHER DOHERTY MD
NPI 1255351946
Family Medicine in York, PA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
4222 LINCOLN HWY, YORK, PA 17406(717) 812-2050(717) 812-2052 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Christopher Doherty Md NPPES

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

DR. JOHN CHRISTOPHER DOHERTY MD (NPI 1255351946) is an individual family medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD060221L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Hahnemann University College Of Medicine (1994).

NPPES Registry Identity

NPI1255351946
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN CHRISTOPHER DOHERTYCredential: MD
Location Address4222 LINCOLN HWYYork, PA 17406-8083
Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3026 · (717) 851-1405 · Fax (717) 812-2052
Fax(717) 812-2052
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1994
Enumeration DateJuly 19, 2006
Last NPPES UpdateJune 13, 2016
NPI 1255351946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD060221L
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.
4222 LINCOLN HWY, York, PA 17406

Other Identifiers 14

Other248535PA · Mamsi-wmg
OtherP002803PA · Gateway-wmg
Other32668PA · Johns Hopkins
Other55801PA · Geisinger
Medicare PIN080109777PA
Other5371651PA · Aetna
Other905218PA · Highmark Blue Shield
Other1142437PA · Amerihealth Mercy-wmg
Other546100MD · Carefirst Md Bcbs
Medicare PIN000487FLTPA
Other80811PA · Unison-wmg
Other01105302PA · Capital Blue Cross-wmg
Medicaid001647238PA
Medicare UPING58835PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Christopher Doherty 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 ID8820037054
PECOS Enrollment IDI20050427001068
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.

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.

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.
319 services186 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.
87 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services67 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.
60 services59 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
58 services57 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17406 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers37 claims65 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims13 services$1.04 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.27 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims2,827 services$0.39 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
4222 LINCOLN HWY
YORK, PA 17406
Obstetrics & Gynecology
4222 LINCOLN HWY
YORK, PA 17406
Nurse Practitioner (Women's Health)
4222 LINCOLN HWY
YORK, PA 17406
Nurse Practitioner (Obstetrics & Gynecology)
4222 LINCOLN HWY
YORK, PA 17406
Nurse Practitioner (Women's Health)
4222 LINCOLN HWY
YORK, PA 17406
Family Medicine
4222 LINCOLN HWY
YORK, PA 17406
Obstetrics & Gynecology
4222 LINCOLN HWY
YORK, PA 17406
Family Medicine
4222 LINCOLN HWY
YORK, PA 17406

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 Doherty's NPI number?

The NPI number for John Doherty is 1255351946. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Doherty located?

John Doherty practices at 4222 Lincoln Hwy, York, PA 17406. The listed phone number is (717) 812-2050.

What is John Doherty's specialty?

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

Is John Doherty enrolled in Medicare?

Yes. John Doherty 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.

Is John Doherty affiliated with any hospitals?

According to CMS data, John Doherty is affiliated with Wellspan York Hospital and Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for John Doherty was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.