ERIN L DOUGHERTY PA-C
NPI 1558962191
Physician Assistant in Newark, DE

Active since November 02, 2020PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718(302) 733-5982(302) 733-6081 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Nov 12, 2020, Nov 2, 2020 (3 updates tracked since 2020).

About Erin L Dougherty Pa-c NPPES

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

ERIN L DOUGHERTY PA-C (NPI 1558962191) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0011458) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1558962191
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIN L DOUGHERTYCredential: PA-C
Location Address4755 OGLETOWN STANTON RD STE 2E99Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Fl 3Newark, DE 19718-2200 · (302) 733-3475 · Fax (302) 325-7056
Fax(302) 733-6081
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 2, 2020
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1558962191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in DE · C5-0011458 Licensed in MD · PA105199
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4755 OGLETOWN STANTON RD STE 2E99, Newark, DE 19718

Secondary Practice Location 1

Location 14755 Ogletown Stanton Rd Fl 3Newark, DE 19718-2200 · Phone (302) 733-3475 · Fax (302) 325-7056

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

Erin L Dougherty 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 ID4789095126
PECOS Enrollment IDI20201116002687
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 20

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

Physician Assistant
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Psychiatry & Neurology (Neurology)
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Psychiatry & Neurology (Neurology)
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Psychiatry & Neurology (Neurology)
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718
Psychiatry & Neurology (Neurocritical Care)
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 19718

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 Erin Dougherty's NPI number?

The NPI number for Erin Dougherty is 1558962191. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Erin Dougherty located?

Erin Dougherty practices at 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718. The listed phone number is (302) 733-5982.

What is Erin Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erin Dougherty enrolled in Medicare?

Yes. Erin 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 Erin Dougherty accept?

Health plans from AmeriHealth Caritas Next list Erin 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 Erin Dougherty was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.