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DEVON ADARE DOUGHERTY
NPI 1790345148
Physician Assistant - Surgical in Manhasset, NY

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devon Adare Dougherty NPPES

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

DEVON ADARE DOUGHERTY (NPI 1790345148) is an individual surgical provider in Manhasset, New York and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790345148
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDEVON ADARE DOUGHERTY
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816
Phone(516) 562-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2019
✔ NPI 1790345148 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
300 COMMUNITY DR, Manhasset, NY 11030
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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

Devon Adare Dougherty 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 ID6608201447
PECOS Enrollment IDI20200124000288
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.

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

SAMIT SHAH M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-1427
DR. SAMANTHA LING PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8761
DR. DIANA RACHAEL NORDQUIST MD
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-8630
DR. STEPHEN JOHN CIPOT IV D.O.
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 684-7598
MR. JOSE LUIS CRUZ PA-C
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nassau County (516) 562-3683
SARAH BETH KORNHABER C.R.N.A.
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nassau County (516) 562-4887
YUSON CHONG NP
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-2252
THERESA MARY MOUZAKITIS PA
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 662-5100

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 Devon Dougherty's NPI number?

The NPI number for Devon Dougherty is 1790345148. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Devon Dougherty located?

Devon Dougherty practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Devon Dougherty's specialty?

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

Is Devon Dougherty enrolled in Medicare?

Yes. Devon 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.

Is Devon Dougherty affiliated with any hospitals?

According to CMS data, Devon Dougherty is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Devon Dougherty was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.