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Active NPI 1720336548 Individual Practitioner Male Practitioner

Christopher R Dougherty , AA

Anesthesiologist Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Christopher Dougherty, AA is a certified Anesthesiologist Assistant practicing in Fort Wayne, IN. With approximately 14 years of clinical experience since graduating from Emory University School Of Medicine in 2012, Christopher Dougherty delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 200.

Christopher Dougherty is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 200

Fort Wayne, IN 468451714

Telephone 2604256030
Fax 2604256028
Associated Practice Facility / Clinic
🏢 Mercy Clinic Hospitalists Facility NPI 1033181474

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +9.3 yrs vs City Avg
City Avg: 4.7 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
41 Specialists

Practicing in Fort Wayne, IN (164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (14 Years) 14 Yrs
Fort Wayne Specialty Average (4.7 Years) 4.7 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
14 14 $474.43 $76.54

Medical Specialties & State Licenses

CMS Verified: 2024-07-15
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License IN 75000180A

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

State License MO 2012029911

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1720336548 (MO)
Commercial Insurance / Payer ID Tricare
431560263 (MO)
Commercial Insurance / Payer ID Rr Mcr
P01129104 (MO)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11141 Parkview Plaza Dr, Fort Wayne, IN 468451714

Phone: 2604256030

Secondary Practice Locations

1235 E Cherokee St

Springfield, MO 658042203

Phone: 4178202829

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003305095

Doctor of Medicine (M.D.)

NPI 1033541263

Doctor of Medicine (M.D.)

Carter Filchak

Anesthesiologist Assistant

NPI 1053118364
Kendra Dempsey

Anesthesiologist Assistant

NPI 1063235471
Yazan Adhami , AA

Anesthesiologist Assistant

NPI 1073311940
NPI 1104823343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 15, 2024

Registered at 11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 468451714 (Tel: 2604256030)

NPI Profile Active February 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2013

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178202829)

📍
Updated Business Mailing Address February 22, 2013

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤
Provider Name / Credentials Updated February 22, 2013

Recorded as CHRISTOPHER DOUGHERTY, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2013

Anesthesiologist Assistant (License #2012029911 in MO)

🟢
Initial NPI Registration & Enumeration August 28, 2012

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: 1720336548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2012
Last Update: July 15, 2024
Sole Proprietor: No

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.