COLTEN DOUGHERTY DPM
NPI 1871974071
Podiatrist - Foot & Ankle Surgery in Sacramento, CA

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
2025 MORSE AVE, SACRAMENTO, CA 95825(916) 973-5000 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 2, 2024, Dec 17, 2021 (2 updates tracked since 2021).

About Colten Dougherty Dpm NPPES

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

COLTEN DOUGHERTY DPM (NPI 1871974071) is an individual foot & ankle surgery provider in Sacramento, California, licensed in California (EL6721) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Galt, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871974071
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameCOLTEN DOUGHERTYCredential: DPM
Location Address2025 MORSE AVESacramento, CA 95825-2115
Mailing Address2025 Morse AveSacramento, CA 95825-2115 · (916) 973-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1871974071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · EL6721
2025 MORSE AVE, Sacramento, CA 95825

Secondary Practice Location 1

Location 19720 New Hope RdGalt, CA 95632-8892 · Phone (916) 502-2197

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

Colten Dougherty Dpm 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 ID8628306859
PECOS Enrollment IDI20190826000969
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.

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.

Nurse Practitioner (Family)
2025 MORSE AVE
SACRAMENTO, CA 95825
Obstetrics & Gynecology (Gynecologic Oncology)
2025 MORSE AVE
SACRAMENTO, CA 95825
Otolaryngology
2025 MORSE AVE
SACRAMENTO, CA 95825
Nurse Anesthetist, Certified Registered
2025 MORSE AVE
SACRAMENTO, CA 95825
Pediatrics
2025 MORSE AVE
SACRAMENTO, CA 95825
Podiatrist
2025 MORSE AVE
SACRAMENTO, CA 95825
Radiology (Vascular & Interventional Radiology)
2025 MORSE AVE
SACRAMENTO, CA 95825
Anesthesiology
2025 MORSE AVE
SACRAMENTO, CA 95825

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 Colten Dougherty's NPI number?

The NPI number for Colten Dougherty is 1871974071. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Colten Dougherty located?

Colten Dougherty practices at 2025 Morse Ave, Sacramento, CA 95825. The listed phone number is (916) 973-5000.

What is Colten Dougherty's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Colten Dougherty enrolled in Medicare?

Yes. Colten 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.

When was this NPI record last updated?

The NPPES record for Colten Dougherty was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.