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Active NPI 1962716456 Individual Practitioner Male Practitioner

Andrew T Doherty , PA-C

Physician Assistant • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Andrew Doherty, PA-C is a registered healthcare professional specializing in Physician Assistant in Rockford, IL. Practice services are available at 3475 S ALPINE RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3475 S Alpine Rd

Rockford, IL 611092604

Telephone 8158748000
Associated Practice Facility / Clinic
🏢 Physicians Immediate Care Ltd Facility NPI 1528046323

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $211.44 $92.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $320.00 $137.47
87804 Detection test by immunoassay with direct visual observation for influenza virus
18 11 $36.00 $16.36
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
16 15 $100.00 $50.80
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $168.14 $74.75

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.003763

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Lindsey Jacobson , PTA

Physical Therapy Assistant

NPI 1013189414

Physical Therapist Assistant

Douglas Blazer , PA

Physician Assistant - Medical

NPI 1104101823

Physician Assistant

Theresa Knoll , MPT

Physical Therapist

NPI 1124264478

Master of Physical Therapy

Sara Hormig , APN

Nurse Practitioner

NPI 1164826012

Advanced Practice Nurse

Lindsay Cox Becker , PTA

Physical Therapy Assistant

NPI 1245462571

Physical Therapist Assistant

William Hellyer , MBA, OTR, L

Occupational Therapist

NPI 1386745164

Master of Business Administration, Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2016

Registered at 3475 S ALPINE RD, ROCKFORD, IL 611092604 (Tel: 8158748000)

📍
Updated Business Mailing Address April 04, 2016

Registered at 713 SUNGLOW CT, DEKALB, IL 601158585

👤
Provider Name / Credentials Updated April 04, 2016

Recorded as ANDREW DOHERTY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Physician Assistant (License #085.003763 in IL)

🟢
Initial NPI Registration & Enumeration July 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962716456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2010
Last Update: April 04, 2016
Sole Proprietor: No

Mailing Address

713 Sunglow Ct

Dekalb, IL 601158585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.