DAVID ALAN DAUGHERTY PA-C
NPI 1689648214
Physician Assistant - Surgical in Fort Wayne, IN

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
80.66/100
CMS Quality Rating
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Alan Daugherty Pa-c NPPES

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

DAVID ALAN DAUGHERTY PA-C (NPI 1689648214) is an individual surgical provider in Fort Wayne, Indiana, licensed in Indiana (10001118A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1689648214
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVID ALAN DAUGHERTYCredential: PA-C
Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133
Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 436-8585
Fax(260) 436-8585
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 7, 2016
NPI 1689648214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in IN · 10001118A Licensed in OH · 50-002861
7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 5

MedicaidOPRIN
Other000000626650IN · Anthem
Medicare PIN132560JJJIN
Other1084497OH · Nccpa
OtherP00877355Railroad Medicare

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

David Alan Daugherty 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 ID42367757
PECOS Enrollment IDI20090929000434
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 5

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 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.
119 services91 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
36 services25 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
34 services20 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
29 services16 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

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.

80.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.61
Promoting Interoperability84
Improvement Activities40
Cost70.28

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$50.48 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.

Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Therapist
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Durable Medical Equipment & Medical Supplies
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Orthopaedic Surgery
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 David Daugherty's NPI number?

The NPI number for David Daugherty is 1689648214. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is David Daugherty located?

David Daugherty practices at 7601 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-8686.

What is David Daugherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Daugherty enrolled in Medicare?

Yes. David Daugherty 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 David Daugherty accept?

Health plans from CareSource list David Daugherty 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 David Daugherty affiliated with any hospitals?

According to CMS data, David Daugherty is affiliated with Lutheran Hospital Of Indiana and The Orthopaedic Hospital Of Lutheran Health Networ.

When was this NPI record last updated?

The NPPES record for David Daugherty was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.