COLIN M. DOUGHERTY MD
NPI 1992857379
Emergency Medicine in San Diego, CA

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Colin M. Dougherty Md NPPES

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

COLIN M. DOUGHERTY MD (NPI 1992857379) is an individual emergency medicine provider in San Diego, California, licensed in California (A91002) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2003).

NPPES Registry Identity

NPI1992857379
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCOLIN M. DOUGHERTYCredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2003
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 1, 2021
NPI 1992857379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A91002
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4647 ZION AVE, San Diego, CA 92120

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

Colin M. Dougherty Md 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 ID9032209994
PECOS Enrollment IDI20071214000578
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 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

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 Colin Dougherty's NPI number?

The NPI number for Colin Dougherty is 1992857379. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Colin Dougherty located?

Colin Dougherty practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Colin Dougherty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Colin Dougherty enrolled in Medicare?

Yes. Colin 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 Colin Dougherty was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.