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DR. MICHAEL J DOHERTY DDS
NPI 1386634418
Dentist - Oral and Maxillofacial Surgery in Medford, OR

Active since October 28, 2005PECOS Enrolled
460 MURPHY ROAD, MEDFORD, OR 97504(541) 776-0050(541) 776-0062 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Doherty Dds NPPES

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

DR. MICHAEL J DOHERTY DDS (NPI 1386634418) is an individual oral and maxillofacial surgery provider in Medford, Oregon, licensed in Idaho (D-3364) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386634418
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL J DOHERTYCredential: DDS
Location Address460 MURPHY ROADMedford, OR 97504
Mailing Address460 Murphy RoadMedford, OR 97504 · (541) 776-0050 · Fax (541) 776-0062
Phone(541) 776-0050
Fax(541) 776-0062
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateJune 6, 2019
✔ NPI 1386634418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D-3364
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
460 MURPHY ROAD, Medford, OR 97504
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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. Michael J Doherty Dds 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 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
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

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

ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC
Clinic/Center (Oral and Maxillofacial Surgery)
460 MURPHY ROAD
MEDFORD, OR 97504
Jackson County (541) 776-0050

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 Michael Doherty's NPI number?

The NPI number for Michael Doherty is 1386634418. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Michael Doherty located?

Michael Doherty practices at 460 Murphy Road, Medford, OR 97504. The listed phone number is (541) 776-0050.

What is Michael Doherty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Doherty enrolled in Medicare?

Yes. Michael Doherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Doherty was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.