DR. JOHN JOSEPH DOUGHERTY M.D.
NPI 1902870371
Obstetrics & Gynecology - Obstetrics in West Reading, PA
About Dr. John Joseph Dougherty M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JOSEPH DOUGHERTY M.D. (NPI 1902870371) is an individual obstetrics provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD427331) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Joseph Dougherty M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show John Dougherty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1669530069 (Pennsylvania)
- 399 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 John Dougherty's NPI number?
The NPI number for John Dougherty is 1902870371. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is John Dougherty located?
John Dougherty practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8827.
What is John Dougherty's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is John Dougherty enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Dougherty reassigns Medicare benefits to 4 organizations: Reading Hospital (West Reading, PA), Tower Health Medical Group (West Reading, PA), Penn State Health Medical Group, LLC (West Reading, PA) and West Grove Clinic Company LLC (West Grove, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Dougherty affiliated with any hospitals?
According to CMS data, John Dougherty is affiliated with Reading Hospital and Milton S Hershey Medical Center.
When was this NPI record last updated?
The NPPES record for John Dougherty was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. John Joseph Dougherty, M.D. · NPI 1902870371
Obstetrics physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1902870371 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** MD427331 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-8827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Reading Hospital (NPI 1780913145, West Reading, PA); Tower Health Medical Group (NPI 1063589273, West Reading, PA); Penn State Health Medical Group, LLC (NPI 1609347152, West Reading, PA); West Grove Clinic Company LLC (NPI 1093355992, West Grove, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Hahnemann University College Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 3, 2025
- **Other identifiers:** Medicaid 101528820 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902870371) · Data from the CMS NPPES public registry.