CHARLES O DOUGHERTY MD
NPI 1376572792
Family Medicine in Yardley, PA
About Charles O Dougherty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES O DOUGHERTY MD (NPI 1376572792) is an individual family medicine provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD420232) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Charles O Dougherty 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 Charles Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 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 14
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PADoylestown Hospital
Acute Care Hospitals · Doylestown, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PASt Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Charles Dougherty's NPI number?
The NPI number for Charles Dougherty is 1376572792. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Charles Dougherty located?
Charles Dougherty practices at 62 South Main Street, Yardley, PA 19067. The listed phone number is (215) 493-5535.
What is Charles Dougherty's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charles Dougherty enrolled in Medicare?
Yes. Charles 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.
Which organization bills Medicare for Charles Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Dougherty reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA). 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 Charles Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Dougherty accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Charles 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 Charles Dougherty affiliated with any hospitals?
According to CMS data, Charles Dougherty is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Doylestown Hospital, Pennsylvania Hospital and St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Charles Dougherty was last updated on February 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Charles O Dougherty, MD · NPI 1376572792
Family Medicine physician in Yardley, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1376572792 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD420232 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 62 SOUTH MAIN STREET, Yardley, PA 19067
- **Phone:** (215) 493-5535
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1790737468, Bala Cynwyd, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** February 8, 2011
- **Other identifiers:** Medicaid 0019534830001 (PA); Medicare UPIN H82084; Medicare ID-Type Unspecified 069083 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376572792) · Data from the CMS NPPES public registry.