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TERRENCE A DOHERTY MD
NPI 1255435558
Family Medicine in Old Lyme, CT

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
19 HALLS RD, OLD LYME, CT 06371(860) 434-8300(860) 865-2388 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terrence A Doherty Md NPPES

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

TERRENCE A DOHERTY MD (NPI 1255435558) is an individual family medicine provider in Old Lyme, Connecticut, licensed in Connecticut (029476) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1255435558
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTERRENCE A DOHERTYCredential: MD
Location Address19 HALLS RDOld Lyme, CT 06371-1457
Mailing Address447 Montauk AvenueNew London, CT 06320 · (860) 447-1426 · Fax (860) 447-0348
Phone(860) 434-8300
Fax(860) 865-2388
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1986
Enumeration DateSeptember 8, 2006
Last NPPES UpdateDecember 8, 2017
✔ NPI 1255435558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 029476
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.
19 HALLS RD, Old Lyme, CT 06371
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Other Identifiers 1

Medicaid1294769CT

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

Terrence A 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 ID345425781
PECOS Enrollment IDI20110428000020
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 12

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.
212 services133 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.
211 services211 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.
184 services122 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
98 services86 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.
94 services92 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.
89 services89 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06371 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims46 services$5.79 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.

THERAPY WORKS PEDIATRICS
Specialist
19 HALLS RD, SUITE 204
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-5524
JAY ALLAN GRAVES M.D.
Family Medicine
19 HALLS RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-8300
OLAF JOHAN OGLAND MD
Psychiatry & Neurology (Psychiatry)
19 HALLS RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-9400
SURESH CEC IL D'MELLO M.D.
Family Medicine
19 HALLS RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-8300
AMY BETH WELDON-BEARDSLEE NP
Nurse Practitioner (Family)
19 HALLS RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-8300
AMANDA L REALE OTR/L
Occupational Therapist
19 HALLS RD, SUITE 204
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-5524
ROBERT DEAN PH.D.
Psychologist (Clinical)
19 HALLS RD, #234
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 434-5398
SWEET HOMEMAKER AND COMPANION AGENCY LLC
In Home Supportive Care
19 HALLS RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (860) 451-8237

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 Terrence Doherty's NPI number?

The NPI number for Terrence Doherty is 1255435558. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Terrence Doherty located?

Terrence Doherty practices at 19 Halls Rd, Old Lyme, CT 06371. The listed phone number is (860) 434-8300.

What is Terrence Doherty's specialty?

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

Is Terrence Doherty enrolled in Medicare?

Yes. Terrence 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 Terrence Doherty affiliated with any hospitals?

According to CMS data, Terrence Doherty is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Terrence Doherty was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.