DR. RENEE D DOHERTY MD
NPI 1336408103
Anesthesiology - Pediatric Anesthesiology in Falls Church, VA

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
3300 GALLOWS RD, DEPARTMENT OF SURGERY, FALLS CHURCH, VA 22042(703) 706-2237(703) 776-2338 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Jun 5, 2024, May 2, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Renee D Doherty Md NPPES

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

DR. RENEE D DOHERTY MD (NPI 1336408103) is an individual pediatric anesthesiology provider in Falls Church, Virginia, licensed in Texas (R7983) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336408103
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameDR. RENEE D DOHERTYCredential: MD
Location Address3300 GALLOWS RD, DEPARTMENT OF SURGERYFalls Church, VA 22042-3307
Mailing Address3140 Harlequin LnSaint Louis, MO 63139-1776 · (205) 349-9878
Fax(703) 776-2338
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateJanuary 31, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
NPI 1336408103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses Licensed in TX · R7983 Licensed in MO · 2019041276
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License R7983 (TX), 74769 (WI)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101257424 (VA)
3300 GALLOWS RD, Falls Church, VA 22042

Other Names 1

Former Name (1)Renee Dawn White M.d.

Secondary Practice Locations 3

Location 11000 N Oak Ave # 1000Marshfield, WI 54449-5703 · Phone (715) 387-5511
Location 212222 Merit Dr Ste 600Dallas, TX 75251-3294 · Phone (972) 715-5000 · Fax (972) 715-9976
Location 31 Childrens Pl Dept OfSaint Louis, MO 63110-1002 · Phone (800) 862-9980 · Fax (314) 362-1185

Accepted Insurance

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. Renee D 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 ID1052622727
PECOS Enrollment IDI20230607002704
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Renee Doherty's NPI number?

The NPI number for Renee Doherty is 1336408103. It was assigned to this individual provider in the NPPES registry on May 14, 2012. The provider is also known as Renee Dawn White M.D..

Where is Renee Doherty located?

Renee Doherty practices at 3300 Gallows Rd Department Of Surgery, Falls Church, VA 22042. The listed phone number is (703) 706-2237.

What is Renee Doherty's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Renee Doherty enrolled in Medicare?

Yes. Renee 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.

What insurance does Renee Doherty accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Medica and Molina Healthcare list Renee Doherty 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 Renee Doherty was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.