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WILLIAM R DOUGHERTY MD
NPI 1497842512
Plastic Surgery in Taos, NM

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
1331 MAESTAS RD, TAOS, NM 87571(575) 776-7806(575) 224-7806 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Dec 12, 2016, Feb 3, 2016 (3 updates tracked since 2016).

About William R Dougherty Md NPPES

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

WILLIAM R DOUGHERTY MD (NPI 1497842512) is an individual plastic surgery provider in Taos, New Mexico, licensed in New Mexico (MD2010-0793) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and is a graduate of University Of Southern California Keck School Of Medicine (1985).

NPPES Registry Identity

NPI1497842512
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameWILLIAM R DOUGHERTYCredential: MD
Location Address1331 MAESTAS RDTaos, NM 87571-6268
Mailing Address1331 Maestas RdTaos, NM 87571-6268 · (575) 776-7806 · Fax (575) 224-7806
Phone(575) 776-7806
Fax(575) 224-7806
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1985
Enumeration DateOctober 9, 2006
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1497842512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NM · MD2010-0793
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License MD38986 (TN), MD071147L (PA), MD2010-0793 (NM)
1331 MAESTAS RD, Taos, NM 87571
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Other Identifiers 1

Other932970MD · Carefirst Md Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

William R 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 ID3870559370
PECOS Enrollment IDI20110217000343, I20221117003492
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.

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.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87571 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN M. AKINS C.N.M.
Midwife
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 758-5001
AMY LONGFELLOW
Family Medicine
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 776-7806
KATHLEEN J. JACKSON RN-APN
Nurse Practitioner (Family)
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 776-7806
NORTHERN NEW MEXICO BIRTH CENTER
Midwife
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 758-1216
DR. DOMINIQUE L CURETON ND, LDN, CNS
Naturopath
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 776-7806
NORTHERN NEW MEXICO BIRTH CENTER
Clinic/Center (Birthing)
1331 MAESTAS RD
TAOS, NM 87571
Taos County (505) 758-1216
MS. CORAL PITKIN CNP
Nurse Practitioner (Obstetrics & Gynecology)
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 613-6118
TAOS WHOLE HEALTH INTEGRATIVE CARE, LLC
Family Medicine
1331 MAESTAS RD
TAOS, NM 87571
Taos County (575) 776-7806

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 William Dougherty's NPI number?

The NPI number for William Dougherty is 1497842512. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is William Dougherty located?

William Dougherty practices at 1331 Maestas Rd, Taos, NM 87571. The listed phone number is (575) 776-7806.

What is William Dougherty's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William Dougherty enrolled in Medicare?

Yes. William 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 William Dougherty accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list William 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 William Dougherty affiliated with any hospitals?

According to CMS data, William Dougherty is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for William Dougherty was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.