DR. DANA LYNN DOUGHERTY MD
NPI 1619991890
Family Medicine in Louisville, KY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6400 DUTCHMANS PKWY, STE.300, LOUISVILLE, KY 40205(502) 894-2444(502) 894-2445 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2021, Jan 12, 2021, Dec 19, 2018 (3 updates tracked since 2018).

About Dr. Dana Lynn Dougherty Md NPPES

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

DR. DANA LYNN DOUGHERTY MD (NPI 1619991890) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (46382) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Saint Louis University School Of Medicine (2000).

NPPES Registry Identity

NPI1619991890
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANA LYNN DOUGHERTYCredential: MD
Location Address6400 DUTCHMANS PKWY, STE.300Louisville, KY 40205-3340
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 558-9529 · Fax (502) 272-5339
Fax(502) 894-2445
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2000
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1619991890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 46382 Licensed in OH · 35-082494
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.
6400 DUTCHMANS PKWY, Louisville, KY 40205

Other Names 1

Former Name (1)Dana Lynn Dougherty Evans Md

Other Identifiers 3

Medicaid2422453OH
Medicaid7100249280KY
Medicaid300055119IN

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

Dr. Dana Lynn 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 ID3274446398
PECOS Enrollment IDI20130807000494
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 14

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.
586 services283 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
524 services313 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.
165 services121 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
90 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services75 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
76 services74 patients

Hospital Affiliations CMS Care Compare 4

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims18 services$5.51 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$42.47 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.30 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.

Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Orthopaedic Surgery (Hand Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Podiatrist (Foot & Ankle Surgery)
6400 DUTCHMANS PKWY, SUITE 215
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205

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 Dana Dougherty's NPI number?

The NPI number for Dana Dougherty is 1619991890. It was assigned to this individual provider in the NPPES registry on July 27, 2006. The provider is also known as Dana Lynn Dougherty Evans MD.

Where is Dana Dougherty located?

Dana Dougherty practices at 6400 Dutchmans Pkwy Ste.300, Louisville, KY 40205. The listed phone number is (502) 894-2444.

What is Dana Dougherty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dana Dougherty enrolled in Medicare?

Yes. Dana 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 Dana Dougherty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dana 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 Dana Dougherty affiliated with any hospitals?

According to CMS data, Dana Dougherty is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Dana Dougherty was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.