MRS. MARY KAY DAUGHERTY PA-C
NPI 1487323036
Physician Assistant - Surgical in Tulsa, OK

Q: What is Mary Daugherty's NPI number?

The NPI number for Mary Daugherty is 1487323036. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Q: What is Mary Daugherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Daugherty was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 September 08, 2021PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1809 E 13TH ST STE 200, TULSA, OK 74104(918) 579-2300 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Jun 24, 2024, May 13, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Mrs. Mary Kay Daugherty Pa-c NPPES

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

MRS. MARY KAY DAUGHERTY PA-C (NPI 1487323036) is an individual surgical provider in Tulsa, Oklahoma, licensed in Oklahoma (4776) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487323036

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. MARY KAY DAUGHERTYCredential: PA-C

Location Address1809 E 13TH ST STE 200Tulsa, OK 74104-4431

Mailing Address1809 E 13th St Ste 200Tulsa, OK 74104-4431 · (918) 579-2300

Phone(918) 579-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 8, 2021

Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1487323036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OK · 4776

1809 E 13TH ST STE 200, Tulsa, OK 74104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Mrs. Mary Kay Daugherty Pa-c 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 ID3274910732

PECOS Enrollment IDI20220523001129

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 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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 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.

14 services11 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370001

Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370202

Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County

Emergency services Birthing friendly

Tulsa Spine & Specialty Hospital

Acute Care Hospitals · Tulsa, OK

OwnershipProprietary

CMS Certification Number370216

Location6901 South Olympia AvenueTulsa, OK 74132 · Tulsa County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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 Mary Daugherty's NPI number?

The NPI number for Mary Daugherty is 1487323036. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Mary Daugherty located?

Mary Daugherty practices at 1809 E 13th St Ste 200, Tulsa, OK 74104. The listed phone number is (918) 579-2300.

What is Mary Daugherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Daugherty enrolled in Medicare?

Yes. Mary Daugherty 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 Mary Daugherty accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mary Daugherty 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 Mary Daugherty affiliated with any hospitals?

According to CMS data, Mary Daugherty is affiliated with Hillcrest Medical Center, Hillcrest Hospital South and Tulsa Spine & Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Mary Daugherty was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.