DR. JENNIFER PSOTA DOUGHERTY DDS
NPI 1962423541
Dentist in Cleveland, OH

Active since July 21, 2006PECOS Enrolled
7123 PEARL RD, SUITE 100, CLEVELAND, OH 44130(440) 888-6783 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer Psota Dougherty Dds NPPES

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

DR. JENNIFER PSOTA DOUGHERTY DDS (NPI 1962423541) is an individual dentist in Cleveland, Ohio, licensed in Ohio (21039) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962423541
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNIFER PSOTA DOUGHERTYCredential: DDS
Location Address7123 PEARL RD, SUITE 100Cleveland, OH 44130-4975
Mailing Address2255 Columbia RdWestlake, OH 44145-4102 · (440) 835-0011 · Fax (440) 250-1896
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 5, 2012
NPI 1962423541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 21039
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7123 PEARL RD, Cleveland, OH 44130

Other Names 1

Other Name (5)Mrs. Jennifer Psota Dougherty Dds

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 (PECOS)

Dr. Jennifer Psota Dougherty Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
7123 PEARL RD, SUITE 100
CLEVELAND, OH 44130
Internal Medicine
7123 PEARL RD, TEAMHEALTH MIDWEST, SUITE 201
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
7123 PEARL RD, SUITE 201
MIDDLEBURG HEIGHTS, OH 44130
Dentist (General Practice)
7123 PEARL RD, SUITE 100
MIDDLEBURG HEIGHTS, OH 44130
Dentist
7123 PEARL RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
7123 PEARL RD
MIDDLEBURG HEIGHTS, OH 44130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962423541, enumerated as an "individual" on July 21, 2006.

The provider is located at 7123 PEARL RD SUITE 100 CLEVELAND, OH 44130 and the phone number is (440) 888-6783.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.