Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780066738 Individual Practitioner Male Practitioner

Dr. Timothy Daugherty , MD

Surgery - Plastic and Reconstructive Surgery • Springfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Daugherty, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Springfield, IL. With approximately 11 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2015, Dr. Daugherty delivers high-quality medical care to the local community at 747 N RUTLEDGE ST FL 3.

Dr. Daugherty is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St Fl 3

Springfield, IL 627026700

Telephone 2175458000
Fax 2175452588
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -7.2 yrs vs City Avg
City Avg: 18.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Springfield, IL (138 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (11 Years) 11 Yrs
Springfield Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
100 17 $7.00 $0.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
69 37 $156.99 $52.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 16 $359.45 $118.20
99213 Established patient office or other outpatient visit, typically 15 minutes
19 16 $251.74 $86.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 15 $500.71 $167.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $316.63 $107.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $466.92 $161.23

Medical Specialties & State Licenses

CMS Verified: 2024-01-29
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036.160543

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IL 125.066594

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
125066594 (IL)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

747 N Rutledge St, Springfield, IL 627026700

Phone: 2175458000

Secondary Practice Locations

747 N Rutledge St Fl 2

Springfield, IL 627026700

Phone: 2175458000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address January 29, 2024

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Surgery (License #036.160543 in IL)

📍
Updated Practice Location June 09, 2022

Registered at 747 N RUTLEDGE ST FL 3, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍
Updated Business Mailing Address June 09, 2022

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2015

Registered at 747 N RUTLEDGE ST, SPRINGFIELD, IL 627026700 (Tel: 2175456112)

📍
Updated Business Mailing Address June 26, 2015

Registered at PO BOX 19653, SPRINGFIELD, IL 627949653 (Tel: 2175456112)

👤
Provider Name / Credentials Updated June 26, 2015

Recorded as TIMOTHY DAUGHERTY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Surgery (License #125.066594 in IL)

🟢
Initial NPI Registration & Enumeration June 26, 2015

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: 1780066738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2015
Last Update: January 29, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.