LINDSAY BRAY DOUGHERTY
NPI 1669957155
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since October 01, 2018PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, 3 WEST, PHILADELPHIA, PA 19104(215) 615-6868(215) 615-3449 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Lindsay Bray Dougherty NPPES

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

LINDSAY BRAY DOUGHERTY (NPI 1669957155) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021083) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669957155
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLINDSAY BRAY DOUGHERTY
Location Address3400 CIVIC CENTER BLVD, 3 WESTPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 3 WestPhiladelphia, PA 19104-5127 · (215) 615-6868 · Fax (215) 615-3449
Fax(215) 615-3449
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 1, 2018
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
NPI 1669957155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SP021083
Also ListedNurse PractitionerTaxonomy 363L00000X · License LP-0000277 (DE)
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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

Lindsay Bray Dougherty 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 ID1557615283
PECOS Enrollment IDI20191226002159
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 2

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.
237 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services61 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.21 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims912 services$0.60 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 (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Lindsay Dougherty's NPI number?

The NPI number for Lindsay Dougherty is 1669957155. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Lindsay Dougherty located?

Lindsay Dougherty practices at 3400 Civic Center Blvd 3 West, Philadelphia, PA 19104. The listed phone number is (215) 615-6868.

What is Lindsay Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lindsay Dougherty enrolled in Medicare?

Yes. Lindsay 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 Lindsay Dougherty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lindsay 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 Lindsay Dougherty affiliated with any hospitals?

According to CMS data, Lindsay Dougherty is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Lindsay Dougherty was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.