GLEN N DOUGHERTY JR. MD
NPI 1720021553
Internal Medicine - Cardiovascular Disease in Columbia, SC

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
2001 LAUREL ST, COLUMBIA, SC 29204(803) 254-3278(803) 929-3256 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, Aug 16, 2021, Feb 25, 2019 and 3 more (6 updates tracked since 2016).

About Glen N Dougherty Jr. Md NPPES

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

GLEN N DOUGHERTY JR. MD (NPI 1720021553) is an individual cardiovascular disease provider in Columbia, South Carolina, licensed in South Carolina (28734) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2000).

NPPES Registry Identity

NPI1720021553
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGLEN N DOUGHERTY JR.Credential: MD
Location Address2001 LAUREL STColumbia, SC 29204-1018
Mailing AddressPo Box 935722Atlanta, GA 31193-5722 · (843) 792-6200
Fax(803) 929-3256
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2000
Enumeration DateJune 13, 2006
Last NPPES UpdateAugust 24, 20216 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1720021553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · 28734
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2001 LAUREL ST, Columbia, SC 29204

Other Identifiers 1

Medicaid287344SC

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

Glen N Dougherty Jr. Md 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 ID42228330
PECOS Enrollment IDI20060712000317
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 33

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.
1,107 services504 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
676 services425 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
539 services431 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.
245 services182 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
216 services216 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
211 services211 patients

Hospital Affiliations CMS Care Compare 4

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420010
Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

Physician Assistant (Medical)
2001 LAUREL ST
COLUMBIA, SC 29204
Physician Assistant (Surgical)
2001 LAUREL ST
COLUMBIA, SC 29204
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Internal Medicine (Cardiovascular Disease)
2001 LAUREL ST
COLUMBIA, SC 29204
Nurse Practitioner (Family)
2001 LAUREL ST
COLUMBIA, SC 29204

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 Glen Dougherty's NPI number?

The NPI number for Glen Dougherty is 1720021553. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Glen Dougherty located?

Glen Dougherty practices at 2001 Laurel St, Columbia, SC 29204. The listed phone number is (803) 254-3278.

What is Glen Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Glen Dougherty enrolled in Medicare?

Yes. Glen 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 Glen Dougherty accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Glen 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 Glen Dougherty affiliated with any hospitals?

According to CMS data, Glen Dougherty is affiliated with Musc Medical Center, Carolina Pines Regional Medical Center, Musc Health Columbia Medical Center Downtown and Kershawhealth.

When was this NPI record last updated?

The NPPES record for Glen Dougherty was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.