KEVIN DOHERTY CRNA
NPI 1689737850
Nurse Anesthetist, Certified Registered in Plymouth, MA

Active since December 19, 2006Accepts Medicare Assignment
275 SANDWICH ROAD, JORDAN HOSPITAL, PLYMOUTH, MA 02360(781) 344-2325 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Doherty Crna NPPES

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

KEVIN DOHERTY CRNA (NPI 1689737850) is an individual nurse anesthetist, certified registered in Plymouth, Massachusetts, licensed in Massachusetts (250820) and active in the NPI registry since December 2006. He is affiliated with Beth Israel Deaconess Hospital Plymouth and is a graduate of Other (2006).

NPPES Registry Identity

NPI1689737850
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN DOHERTYCredential: CRNA
Location Address275 SANDWICH ROAD, JORDAN HOSPITALPlymouth, MA 02360
Mailing Address275 Sandwich StPlymouth, MA 02360-2183 · (508) 746-2000 · Fax (781) 341-8544
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 19, 2018
NPI 1689737850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MA · 250820
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

275 SANDWICH ROAD, Plymouth, MA 02360

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

Kevin Doherty Crna 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 ID648280289
PECOS Enrollment IDI20070320000673

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
83 services83 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
66 services64 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
27 services27 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
25 services25 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689737850, enumerated as an "individual" on December 19, 2006.

The provider is located at 275 SANDWICH ROAD JORDAN HOSPITAL PLYMOUTH, MA 02360 and the phone number is (781) 344-2325.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Kevin Doherty is affiliated with: BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH.