CAITLIN J DOUGHERTY CRNP
NPI 1952651556
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Caitlin Dougherty's NPI number?

The NPI number for Caitlin Dougherty is 1952651556. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Q: What is Caitlin Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Dougherty was last updated on January 2, 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.

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment

3624 MARKET ST STE 201, PHILADELPHIA, PA 19104(215) 662-7772 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2019, Dec 20, 2018, Nov 30, 2018 (3 updates tracked since 2018).

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About Caitlin J Dougherty Crnp NPPES

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

CAITLIN J DOUGHERTY CRNP (NPI 1952651556) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012097) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1952651556

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAITLIN J DOUGHERTYCredential: CRNP

Location Address3624 MARKET ST STE 201Philadelphia, PA 19104-2614

Mailing Address3624 Market St, Ste 201Philadelphia, PA 19104-5560 · (215) 829-3523

Phone(215) 662-7772

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 12, 2012

Last NPPES UpdateJanuary 2, 20193 updates tracked since enumeration

✔ NPI 1952651556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP012097

3624 MARKET ST STE 201, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 1CVS, 1500 Spruce StPhiladelphia, PA 19102 · Phone (866) 389-2727

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Caitlin J Dougherty Crnp 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 ID6608025598

PECOS Enrollment IDI20220502001384

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 5

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.

142 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services51 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.

35 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604