DR. AMY LYNN DOHERTY D.O.
NPI 1437413812
Family Medicine in Portage, WI

Q: What is Amy Doherty's NPI number?

The NPI number for Amy Doherty is 1437413812. It was assigned to this individual provider in the NPPES registry on June 29, 2012. The provider is also known as Miss Amy Lynn Doherty Sullivan.

Q: What is Amy Doherty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Doherty was last updated on June 28, 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.

Active since June 29, 2012PECOS Enrolled

2817 NEW PINERY RD, PORTAGE, WI 53901(608) 742-4131 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Amy Lynn Doherty D.o. NPPES

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

DR. AMY LYNN DOHERTY D.O. (NPI 1437413812) is an individual family medicine provider in Portage, Wisconsin, licensed in Wisconsin (65068-21) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437413812

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMY LYNN DOHERTYCredential: D.O.

Location Address2817 NEW PINERY RDPortage, WI 53901-9240

Mailing Address2817 New Pinery RdPortage, WI 53901-9240 · (608) 742-4131

Phone(608) 742-4131

Sole ProprietorNo

Enumeration DateJune 29, 2012

Last NPPES UpdateJune 28, 2016

✔ NPI 1437413812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 65068-21✔ Licensed in IL · 125.062322✔ Licensed in IL · 036.137970

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2817 NEW PINERY RD, Portage, WI 53901

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Other Names 1

Former Name (1)Miss Amy Lynn Doherty Sullivan

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. Amy Lynn Doherty D.o. 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 53901 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

BRITTANY LEIGH READ CCC-SLP

Speech-Language Pathologist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

ELIZABETH SHARRON REDDEMAN DPT

Physical Therapist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 745-6290

MRS. BONNIE SUE STANISLAWSKI AU. D.

Audiologist-Hearing Aid Fitter

2817 NEW PINERY RD, SUITE 103
PORTAGE, WI 53901

Columbia County (608) 745-6290

MADISON LEE PHARMD

Pharmacist

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

DEBORAH BRZYCKI CRNA

Nurse Anesthetist, Certified Registered

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (262) 416-8317

TERRA THIMM

Emergency Medicine

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

DILLON VIA

Physician Assistant

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 742-4131

MICHAEL C WALTERS MD

Emergency Medicine

2817 NEW PINERY RD
PORTAGE, WI 53901

Columbia County (608) 745-5689

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 Amy Doherty's NPI number?

The NPI number for Amy Doherty is 1437413812. It was assigned to this individual provider in the NPPES registry on June 29, 2012. The provider is also known as Miss Amy Lynn Doherty Sullivan.

Where is Amy Doherty located?

Amy Doherty practices at 2817 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 742-4131.

What is Amy Doherty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Doherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Doherty was last updated on June 28, 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.