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

Active since May 14, 2012PECOS Enrolled
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: October 18, 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 and maintains 3 additional practice locations.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renee D Doherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

9

Medicare enrollment records show Renee Doherty reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 405 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Multi-Specialty
859 E. MELTON DRIVE
Jay, OK 74346
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
Anesthesiology
9080 HARRY HINES BLVD, SUITE 110
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Anesthesiology
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Renee Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Doherty reassigns Medicare benefits to 9 organizations: Washington University (Saint Louis, MO), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Cherokee Nation (Jay, OK), Anesthesia Alliance Of Dallas, P.A. (Dallas, TX) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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, Molina Healthcare and Oscar Insurance Company and 1 other insurer 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 20 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.