MICHAEL SEAN DOHERTY PA
NPI 1609313360
Physician Assistant in Murray, UT
About Michael Sean Doherty Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SEAN DOHERTY PA (NPI 1609313360) is an individual physician assistant in Murray, Utah and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Michael Sean Doherty Pa 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84107
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 Michael Doherty's NPI number?
The NPI number for Michael Doherty is 1609313360. It was assigned to this individual provider in the NPPES registry on January 19, 2017.
Where is Michael Doherty located?
Michael Doherty practices at 5171 S Cottonwood St Ste 740, Murray, UT 84107. The listed phone number is (801) 507-9700.
What is Michael Doherty's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michael Doherty enrolled in Medicare?
Yes. Michael Doherty 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.
When was this NPI record last updated?
The NPPES record for Michael Doherty was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michael Sean Doherty, PA · NPI 1609313360
Physician Assistant physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1609313360 (Entity type: Individual)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5171 S COTTONWOOD ST STE 740, Murray, UT 84107-5705
- **Phone:** (801) 507-9700 · **Fax:** (801) 507-9705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609313360) · Data from the CMS NPPES public registry.