DR. EVAN BLAKE DAUGHERTY MD
NPI 1356046122
Hospitalist in Mullica Hill, NJ
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, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Evan Blake Daugherty 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Daugherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 535 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooper University Hospital
Acute Care Hospitals · Camden, NJPhysician 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.
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.
MULLICA HILL, NJ 08062
MULLICA HILL, NJ 08062
MULLICA HILL, NJ 08062
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Evan Daugherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Daugherty reassigns Medicare benefits to Cooper Physician Offices, PA (Camden, NJ). The 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 Evan Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Daugherty accept?
Health plans from Oscar Health list Evan Daugherty 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.
Is Evan Daugherty affiliated with any hospitals?
According to CMS data, Evan Daugherty is affiliated with Cooper University Hospital.
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 3 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.
# Dr. Evan Blake Daugherty, MD · NPI 1356046122
Hospitalist physician in Mullica Hill, New Jersey. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1356046122 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 25MA12890600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 MULLICA HILL RD, Mullica Hill, NJ 08062-4413
- **Phone:** (856) 508-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cooper Physician Offices, PA (NPI 1154369510, Camden, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356046122) · Data from the CMS NPPES public registry.