TIMOTHY JOSEPH DOUGHERTY NP
NPI 1487046694
Nurse Practitioner - Family in Lake Charles, LA

Active since February 25, 2015PECOS EnrolledAccepts Medicare Assignment
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601(337) 312-8249(337) 312-6711 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2017, Dec 3, 2015 (2 updates tracked since 2015).

About Timothy Joseph Dougherty Np NPPES

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

TIMOTHY JOSEPH DOUGHERTY NP (NPI 1487046694) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (AP08206) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487046694
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY JOSEPH DOUGHERTYCredential: NP
Location Address501 DR MICHAEL DEBAKEY DRLake Charles, LA 70601-5724
Mailing Address711 Dr Michael Debakey DrLake Charles, LA 70601-5785 · (337) 312-8247 · Fax (337) 493-4355
Fax(337) 312-6711
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 25, 2015
Last NPPES UpdateMay 1, 20172 updates tracked since enumeration
NPI 1487046694 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 LA · AP08206
501 DR MICHAEL DEBAKEY DR, Lake Charles, LA 70601

Other Identifiers 3

Medicare PIN403938YH5NLA
Medicaid2386611LA
Medicare PINP01660197LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Joseph Dougherty Np 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 ID7214255215
PECOS Enrollment IDI20150422001434
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.

Areas of Expertise CMS Part B claims 4

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.
445 services336 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.
117 services108 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier26 claims26 services$795.57 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier26 claims52 services$311.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinical Medical Laboratory
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Family Medicine
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Internal Medicine (Gastroenterology)
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Physician Assistant
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Nurse Practitioner
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601
Internal Medicine (Rheumatology)
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601

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 Timothy Dougherty's NPI number?

The NPI number for Timothy Dougherty is 1487046694. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Where is Timothy Dougherty located?

Timothy Dougherty practices at 501 Dr Michael Debakey Dr, Lake Charles, LA 70601. The listed phone number is (337) 312-8249.

What is Timothy Dougherty's specialty?

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

Is Timothy Dougherty enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Dougherty accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana and UnitedHealthcare list Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Dougherty was last updated on May 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.