MRS. TIFFANY MARIE DOUGHERTY FNP-BC
NPI 1356780910
Nurse Practitioner - Family in Wheeling, WV

Q: What is Tiffany Dougherty's NPI number?

The NPI number for Tiffany Dougherty is 1356780910. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Tiffany Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Dougherty was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 17, 2013PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

1 MEDICAL PARK, WHEELING, WV 26003(304) 243-3308(304) 243-3328 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tiffany Marie Dougherty Fnp-bc NPPES

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

MRS. TIFFANY MARIE DOUGHERTY FNP-BC (NPI 1356780910) is an individual family provider in Wheeling, West Virginia, licensed in West Virginia (APRN64499) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356780910

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TIFFANY MARIE DOUGHERTYCredential: FNP-BC

Location Address1 MEDICAL PARKWheeling, WV 26003

Mailing Address1 Medical ParkWheeling, WV 26003 · (304) 243-3308 · Fax (304) 243-3328

Phone(304) 243-3308

Fax(304) 243-3328

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 17, 2013

Last NPPES UpdateMay 27, 2020

NPPES CertifiedMay 27, 2020

✔ NPI 1356780910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in WV · APRN64499✔ Licensed in OH · COA.16020-NP

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN332952 (OH), 64499 (WV)

1 MEDICAL PARK, Wheeling, WV 26003

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Other Identifiers 1

Medicaid0105340OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Tiffany Marie Dougherty Fnp-bc 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 ID9436376118

PECOS Enrollment IDI20140917001000

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 2

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.

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.

370 services206 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.

100 services94 patients

Hospital Affiliations CMS Care Compare 3

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510013

Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV

OwnershipGovernment - Local

CMS Certification Number510072

Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

MOLLY E. FISHER SLP

Speech-Language Pathologist

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

KRISTINA JOHNSON PH.D.

Behavior Analyst

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-1134

MICHAEL GARMAN ATC,PTA

Specialist/Technologist (Athletic Trainer)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

CATHERINE F SANSONE PT

Physical Therapist

1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003

Ohio County (304) 243-3124

BILLIE J JOHNSTON PT

Physical Therapist

1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003

Ohio County (304) 243-3124

ANGELA HENNIS

Nurse Practitioner (Family)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

MADELINE F SHIPE CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3343

TERRY L STAKE M.D.

Radiology (Diagnostic Radiology)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3270

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 Tiffany Dougherty's NPI number?

The NPI number for Tiffany Dougherty is 1356780910. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Tiffany Dougherty located?

Tiffany Dougherty practices at 1 Medical Park, Wheeling, WV 26003. The listed phone number is (304) 243-3308.

What is Tiffany Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Dougherty enrolled in Medicare?

Yes. Tiffany 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.

What insurance does Tiffany Dougherty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Tiffany Dougherty 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 Tiffany Dougherty affiliated with any hospitals?

According to CMS data, Tiffany Dougherty is affiliated with Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Dougherty was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.