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MICHELLE L DOUGHERTY M.D.
NPI 1396935433
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
219 N BROAD ST, 7TH FLOOR, PHILADELPHIA, PA 19107(215) 762-6915(215) 762-6914 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle L Dougherty M.d. NPPES

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

MICHELLE L DOUGHERTY M.D. (NPI 1396935433) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD438250) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396935433
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMICHELLE L DOUGHERTYCredential: M.D.
Location Address219 N BROAD ST, 7TH FLOORPhiladelphia, PA 19107-1519
Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1320 · (215) 255-7822 · Fax (215) 255-7825
Phone(215) 762-6915
Fax(215) 762-6914
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 25, 2007
Last NPPES UpdateMay 6, 2016
✔ NPI 1396935433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD438250✔ Licensed in MA · 232697
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
219 N BROAD ST, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Michelle L Dougherty M.d. 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 ID547354532
PECOS Enrollment IDI20140217000071
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

2

Medicare enrollment records show Michelle Dougherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gni Neuroservices LLC
33 mi
Neurological Surgery
3100 PRINCETON PIKE BLDG 3, SUITE D
Lawrenceville, NJ 08648
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1851794903 (844) 464-6387
Healthcare Partners Affiliates Medical Group
2,380 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864

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 3

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 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.
38 services26 patients
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.
17 services14 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

EVA HASSAN ALSHEIK M.D.
Internal Medicine (Gastroenterology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6071
STEVEN PEITZMAN MD
Internal Medicine (Nephrology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6144
DREXEL UNIVERSITY
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DREXEL UNIVERSITY
Psychiatry & Neurology (Neurology)
219 N BROAD ST, 7TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6915
MICHAEL S SHERMAN MD
Internal Medicine (Pulmonary Disease)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
JOANNE E GETSY MD
Internal Medicine (Sleep Medicine)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-2688
PHILADELPHIA HEALTH & EDUCATION CORP
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-6555
DIANA M MORGENSTERN MD
Internal Medicine
219 N BROAD ST, 6TH FLOOR
PHILA, PA 19107
Philadelphia County (215) 762-5181

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 Michelle Dougherty's NPI number?

The NPI number for Michelle Dougherty is 1396935433. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Michelle Dougherty located?

Michelle Dougherty practices at 219 N Broad St 7th Floor, Philadelphia, PA 19107. The listed phone number is (215) 762-6915.

What is Michelle Dougherty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michelle Dougherty enrolled in Medicare?

Yes. Michelle 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 organizations bill Medicare for Michelle Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Dougherty reassigns Medicare benefits to 2 organizations: Gni Neuroservices LLC (Lawrenceville, NJ) and Healthcare Partners Affiliates Medical Group (Tustin, CA). 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 Michelle Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Dougherty accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michelle 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 Michelle Dougherty affiliated with any hospitals?

According to CMS data, Michelle Dougherty is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Michelle Dougherty was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.