MATTHEW DAUGHERTY FNP
NPI 1366078784
Nurse Practitioner - Family in Fredericksburg, VA

Active since March 17, 2020PECOS Enrolled
87.2/100
CMS Quality Rating
1511 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401(866) 389-7272 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Daugherty Fnp NPPES

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

MATTHEW DAUGHERTY FNP (NPI 1366078784) is an individual family provider in Fredericksburg, Virginia, licensed in Virginia (0024179009) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366078784
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW DAUGHERTYCredential: FNP
Location Address1511 JEFFERSON DAVIS HWYFredericksburg, VA 22401-4631
Mailing Address12991 Orleans StWoodbridge, VA 22192-3723 · (347) 571-1312
Sole ProprietorNo
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1366078784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024179009
1511 JEFFERSON DAVIS HWY, Fredericksburg, VA 22401

Other Identifiers 1

Other0024179009VA · Family Nurse Practitioner

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)

Matthew Daugherty Fnp 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

5

Medicare enrollment records show Matthew Daugherty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
150 RIVERSIDE PKWY STE 115 PMB 5560
Fredericksburg, VA 22406
  • Reassigned Medicare billing, Virginia enrollment
Acute Care
2099 N MOUNT JULIET RD
Mount Juliet, TN 37122
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 99 clinicians in this Medicare group
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, District of Columbia enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
3825 N LAFAYETTE ST
Denver, CO 80205
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 81 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.

Areas of Expertise CMS Part B claims 9

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.

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
45 services45 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
39 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
18 services17 patients
Red blood cell concentration measurement 85014
Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
18 services17 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.74
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Pharmacist
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Pharmacist
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Pharmacist
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401

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 Matthew Daugherty's NPI number?

The NPI number for Matthew Daugherty is 1366078784. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Matthew Daugherty located?

Matthew Daugherty practices at 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401. The listed phone number is (866) 389-7272.

What is Matthew Daugherty's specialty?

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

Is Matthew Daugherty enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Daugherty reassigns Medicare benefits to 5 organizations: Providence Medical LLC (Fredericksburg, VA), Regional Healthcare Group LLC (Mount Juliet, TN), Monogram Health Professional Services PC (Brentwood, TN), Circle Medical Care Group PA (Tampa, FL) and True North Health Navigation LLC (Denver, CO). 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 Matthew Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Daugherty accept?

Health plans from Oscar Health list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Daugherty was last updated on March 17, 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.