MARK J DOUGHERTY MD
NPI 1326049628
Internal Medicine - Infectious Disease in Lexington, KY

Q: What is Mark Dougherty's NPI number?

The NPI number for Mark Dougherty is 1326049628. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Mark Dougherty'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 Mark Dougherty was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 09, 2005PECOS EnrolledAccepts Medicare Assignment

83.77/100

CMS Quality Rating

1720 NICHOLASVILLE RD, SUITE 602, LEXINGTON, KY 40503(859) 277-4005(859) 278-2507 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark J Dougherty Md NPPES

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

MARK J DOUGHERTY MD (NPI 1326049628) is an individual infectious disease provider in Lexington, Kentucky, licensed in Kentucky (25733) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1326049628

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameMARK J DOUGHERTYCredential: MD

Location Address1720 NICHOLASVILLE RD, SUITE 602Lexington, KY 40503-1475

Mailing Address1720 Nicholasville Rd, Suite 602Lexington, KY 40503-1475 · (859) 277-4005 · Fax (859) 278-2507

Phone(859) 277-4005

Fax(859) 278-2507

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 9, 2005

Last NPPES UpdateMarch 4, 2008

✔ NPI 1326049628 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 KY · 25733

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.

1720 NICHOLASVILLE RD, Lexington, KY 40503

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA02917KY

Medicare PIN234501KY

Medicaid64257330KY

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

Mark J 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 ID345221321

PECOS Enrollment IDI20100216000582

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 14

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, daptomycin, 1 mg J0878

Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.

93,900 services37 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

3,184 services64 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.

681 services114 patients

Injection, ertapenem sodium, 500 mg J1335

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

429 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

370 services111 patients

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.

335 services139 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

218 services104 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

166 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

135 services123 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.

131 services75 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

108 services41 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.

71 services61 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

83.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.7

Improvement Activities

Cost

57.63

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.

EMILY MEGAN CARTER PA-C

Physician Assistant

1720 NICHOLASVILLE RD, STE 601
LEXINGTON, KY 40503

Fayette County (859) 277-5887

MRS. JENNIFER A FUSON MD

Obstetrics & Gynecology

1720 NICHOLASVILLE RD, STE 702
LEXINGTON, KY 40503

Fayette County (859) 264-8811

MS. ELAINE P SCHERMER ARNP

Nurse Practitioner (Acute Care)

1720 NICHOLASVILLE RD, SUITE 506
LEXINGTON, KY 40503

Fayette County (859) 260-6326

CHARLES A KENNEDY MD

Internal Medicine (Infectious Disease)

1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503

Fayette County (859) 277-4005

BAPTIST PHYSICIANS LEXINGTON, INC

Internal Medicine (Hospice and Palliative Medicine)

1720 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503

Fayette County (859) 260-6348

TONYA BREEDING PA-C

Physician Assistant

1720 NICHOLASVILLE RD, SUTIE 601
LEXINGTON, KY 40503

Fayette County (859) 277-5887

MICHAEL T REYMANN MD

Internal Medicine (Infectious Disease)

1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503

Fayette County (859) 277-4005

SHANTEL J. DEVER AU.D.

Audiologist

1720 NICHOLASVILLE RD, SUITE 500
LEXINGTON, KY 40503

Fayette County (859) 278-1114

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 Mark Dougherty's NPI number?

The NPI number for Mark Dougherty is 1326049628. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Mark Dougherty located?

Mark Dougherty practices at 1720 Nicholasville Rd Suite 602, Lexington, KY 40503. The listed phone number is (859) 277-4005.

What is Mark Dougherty's specialty?

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

Is Mark Dougherty enrolled in Medicare?

Yes. Mark 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.

Is Mark Dougherty affiliated with any hospitals?

According to CMS data, Mark Dougherty is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Baptist Health Corbin, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Mark Dougherty was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.