DR. JENNA DOUGHERTY OD
NPI 1700614674
Optometrist in Wichita, KS

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
1202 W MAPLE ST, WICHITA, KS 67213(316) 262-3716 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jenna Dougherty Od NPPES

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

DR. JENNA DOUGHERTY OD (NPI 1700614674) is an individual optometrist in Wichita, Kansas, licensed in Kansas (2218) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Goddard, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700614674
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNA DOUGHERTYCredential: OD
Location Address1202 W MAPLE STWichita, KS 67213-3916
Mailing Address1202 W Maple StWichita, KS 67213-3916 · (316) 262-3716
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1700614674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in KS · 2218
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1202 W MAPLE ST, Wichita, KS 67213

Secondary Practice Location 1

Location 1318 N Main StGoddard, KS 67052-8768 · Phone (316) 794-2228

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. Jenna Dougherty Od 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 ID1951849173
PECOS Enrollment IDI20240819001720
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67213 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213
Optometrist
1202 W MAPLE ST
WICHITA, KS 67213

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 Jenna Dougherty's NPI number?

The NPI number for Jenna Dougherty is 1700614674. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Jenna Dougherty located?

Jenna Dougherty practices at 1202 W Maple St, Wichita, KS 67213. The listed phone number is (316) 262-3716.

What is Jenna Dougherty's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jenna Dougherty enrolled in Medicare?

Yes. Jenna 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 Jenna Dougherty accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Jenna 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.

When was this NPI record last updated?

The NPPES record for Jenna Dougherty was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.