JOSEPH T DOUGHERTY MD
NPI 1487806402
Family Medicine in Monroeville, PA

Q: What is Joseph Dougherty's NPI number?

The NPI number for Joseph Dougherty is 1487806402. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Q: What is Joseph Dougherty'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 Joseph Dougherty was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 22, 2008PECOS EnrolledAccepts Medicare Assignment

2550 MOSSIDE BLVD STE 500, MONROEVILLE, PA 15146(412) 457-1100(412) 457-0250 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2020, Apr 26, 2017, Jan 12, 2017 (3 updates tracked since 2017).

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About Joseph T Dougherty Md NPPES

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

JOSEPH T DOUGHERTY MD (NPI 1487806402) is an individual family medicine provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD441934) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1487806402

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSEPH T DOUGHERTYCredential: MD

Location Address2550 MOSSIDE BLVD STE 500Monroeville, PA 15146-3514

Mailing Address2550 Mosside Blvd Ste 500Monroeville, PA 15146-3514 · (412) 457-1100 · Fax (412) 457-0250

Phone(412) 457-1100

Fax(412) 457-0250

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2008

Enumeration DateOctober 22, 2008

Last NPPES UpdateOctober 5, 20203 updates tracked since enumeration

NPPES CertifiedOctober 5, 2020

✔ NPI 1487806402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD441934

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD441934 (PA)

2550 MOSSIDE BLVD STE 500, Monroeville, PA 15146

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Other Identifiers 1

Medicaid102745648PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Joseph T Dougherty Md 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 ID5991951352

PECOS Enrollment IDI20120820000171

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

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

Allegheny Clinic

Same address

Orthopaedic Surgery

2550 MOSSIDE BLVD STE 405
Monroeville, PA 15146

Reassigned Medicare billing, Pennsylvania enrollment
2,881 clinicians in this Medicare group

NPI 1093141079 (412) 373-1600

Butler Medical Providers

26 mi

Family Medicine

432 3RD AVE
Ford City, PA 16226

Reassigned Medicare billing, Pennsylvania enrollment
482 clinicians in this Medicare group

NPI 1841679073 (833) 906-0106

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 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.

52 services37 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

35 services35 patients

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.

33 services30 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$57.34 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$26.52 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.

BRIANNE LEIGH WEHNER D.O.

Family Medicine