DR. PAUL JOSEPH DOUGHERTY M.D.
NPI 1639382328
Orthopaedic Surgery in Detroit, MI
About Dr. Paul Joseph Dougherty M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL JOSEPH DOUGHERTY M.D. (NPI 1639382328) is an individual orthopaedic surgery provider in Detroit, Michigan, licensed in Michigan (4301083727) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Dr. Paul Joseph Dougherty M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 1,456 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shands Jacksonville
Acute Care Hospitals · Jacksonville, FLBaptist Health Medical Center - Jacksonville
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Paul Dougherty's NPI number?
The NPI number for Paul Dougherty is 1639382328. It was assigned to this individual provider in the NPPES registry on May 8, 2007.
Where is Paul Dougherty located?
Paul Dougherty practices at 4201 Saint Antoine St Suite 6A, Detroit, MI 48201. The listed phone number is (313) 745-4230.
What is Paul Dougherty's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Paul Dougherty enrolled in Medicare?
Yes. Paul 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.
Which organization bills Medicare for Paul Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dougherty reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Dougherty accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Paul 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 Paul Dougherty affiliated with any hospitals?
According to CMS data, Paul Dougherty is affiliated with Shands Jacksonville and Baptist Health Medical Center - Jacksonville.
When was this NPI record last updated?
The NPPES record for Paul Dougherty was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Paul Joseph Dougherty, M.D. · NPI 1639382328
Orthopaedic Surgery physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since May 8, 2007.
## Identity
- **NPI:** 1639382328 (Entity type: Individual)
- **Enumerated:** May 8, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 4301083727 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 SAINT ANTOINE ST, SUITE 6A, Detroit, MI 48201-2153
- **Phone:** (313) 745-4230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Florida Jacksonville Physicians Inc (NPI 1104086479, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** April 24, 2015
- **Other identifiers:** Medicare UPIN G80211 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1639382328) · Data from the CMS NPPES public registry.