GRANT DAUGHERTY
NPI 1770106312
Psychiatry & Neurology - Psychiatry in Tulsa, OK

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
1111 W 17TH ST, TULSA, OK 74107(918) 236-4000 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2025, May 18, 2020 (2 updates tracked since 2020).

About Grant Daugherty NPPES

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

GRANT DAUGHERTY (NPI 1770106312) is an individual psychiatry provider in Tulsa, Oklahoma, licensed in Oklahoma (46242) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2021).

NPPES Registry Identity

NPI1770106312
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGRANT DAUGHERTY
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886 · (918) 236-4000
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2021
Enumeration DateMay 18, 2020
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1770106312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in OK · 46242
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1111 W 17TH ST, Tulsa, OK 74107

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

Grant Daugherty 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 ID1153721840
PECOS Enrollment IDI20251111000494
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $40.65 for a new patient copayment and $16.62 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 74107 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $162.61
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $40.65
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist (Research Study)
1111 W 17TH ST
TULSA, OK 74107
Clinical Medical Laboratory
1111 W 17TH ST, ATTN: JARRAD WAGNER
TULSA, OK 74107
Clinical Medical Laboratory
1111 W 17TH ST
TULSA, OK 74107
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770106312, enumerated as an "individual" on May 18, 2020.

The provider is located at 1111 W 17TH ST TULSA, OK 74107 and the phone number is (918) 236-4000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Mending Health and Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.