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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EVAN BLAKE DAUGHERTY MD
NPI 1356046122
Hospitalist in Mullica Hill, NJ

Active since April 03, 2023PECOS Enrolled
700 MULLICA HILL RD, MULLICA HILL, NJ 08062(856) 508-8000 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Dr. Evan Blake Daugherty Md NPPES

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

DR. EVAN BLAKE DAUGHERTY MD (NPI 1356046122) is an individual hospitalist provider in Mullica Hill, New Jersey, licensed in New Jersey (25MA12890600) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356046122
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EVAN BLAKE DAUGHERTYCredential: MD
Location Address700 MULLICA HILL RDMullica Hill, NJ 08062-4413
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Phone(856) 508-8000
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1356046122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA12890600
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
700 MULLICA HILL RD, Mullica Hill, NJ 08062
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Blake Daugherty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08062 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

MAHEEN SAYEED
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-8000
JULIANNA HEIDER
Pharmacist
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-1000
RAKAN AL-AHMAD DO
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-8000
JASPER MOK MD
Hospitalist
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-1000
KATERINA ELENI SKEDROS
Emergency Medicine
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-1000
KACEY LEE DEARING MD
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-8000
DR. COLIN COX DO
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-8000
ADAM KATZENBERG DO
Student in an Organized Health Care Education/Training Program
700 MULLICA HILL RD
MULLICA HILL, NJ 08062
Gloucester County (856) 508-8000

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 Evan Daugherty's NPI number?

The NPI number for Evan Daugherty is 1356046122. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Evan Daugherty located?

Evan Daugherty practices at 700 Mullica Hill Rd, Mullica Hill, NJ 08062. The listed phone number is (856) 508-8000.

What is Evan Daugherty's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Evan Daugherty enrolled in Medicare?

Yes. Evan Daugherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Daugherty was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.