Active NPI 1689648214 Individual Practitioner Male Practitioner

David Alan Daugherty , PA-C

Physician Assistant - Surgical • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Daugherty, PA-C is a certified Physician Assistant - Surgical practicing in Fort Wayne, IN. With approximately 18 years of clinical experience since completing medical education in 2008, David Daugherty delivers high-quality medical care to the local community at 7601 W JEFFERSON BLVD.

David Daugherty maintains professional affiliations with Orthopaedics-Indianapolis Inc, Fort Wayne Orthopaedics, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of wrist, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7601 W Jefferson Blvd

Fort Wayne, IN 468044133

Telephone 2604368686

Fax 2604368585

Associated Practice Facility / Clinic

🏢 Fort Wayne Orthopaedics Llc Facility NPI 1497758429

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Fort Wayne, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -5.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 12.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Fort Wayne, IN (165 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (18 Years) 18 Yrs

Fort Wayne Specialty Average (23.3 Years) 23.3 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,680	40	$0.75	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	119	91	$171.87	$70.90
73110 X-ray of wrist, minimum of 3 views	36	25	$157.39	$35.61
20600 Aspiration and/or injection of fluid from small joint	34	20	$179.12	$39.50
20550 Injection into tendon or ligament	29	16	$211.00	$39.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$257.26	$101.22
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	19	16	$74.47	$13.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	104	$162.14	$71.82
J1030 Injection, methylprednisolone acetate, 40 mg	56	38	$23.54	$7.53
73110 X-ray of wrist, minimum of 3 views	49	30	$135.04	$31.79
20550 Injection into tendon or ligament	41	32	$216.15	$42.48
J1020 Injection, methylprednisolone acetate, 20 mg	39	28	$13.79	$5.57
20600 Aspiration and/or injection of fluid from small joint	36	17	$193.33	$37.30
73140 X-ray of finger, minimum of 2 views	26	21	$115.08	$29.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$242.64	$102.15
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$200.00	$37.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$253.00	$88.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	94	$155.62	$71.69
J1030 Injection, methylprednisolone acetate, 40 mg	49	32	$22.00	$6.52
J1020 Injection, methylprednisolone acetate, 20 mg	42	30	$13.00	$3.20
73110 X-ray of wrist, minimum of 3 views	39	28	$130.97	$32.64
20600 Aspiration and/or injection of fluid from small joint	38	22	$192.32	$37.25
20550 Injection into tendon or ligament	27	21	$218.81	$41.64
73130 X-ray of hand, minimum of 3 views	21	16	$129.95	$31.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$100.60	$45.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$241.27	$89.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	92	$152.51	$73.10
J1030 Injection, methylprednisolone acetate, 40 mg	75	44	$21.91	$5.61
J1020 Injection, methylprednisolone acetate, 20 mg	60	39	$12.92	$3.09
20600 Aspiration and/or injection of fluid from small joint	44	27	$225.41	$44.52
73110 X-ray of wrist, minimum of 3 views	42	28	$147.62	$37.30
20550 Injection into tendon or ligament	32	25	$211.00	$40.15
73130 X-ray of hand, minimum of 3 views	30	23	$126.50	$30.65
20610 Aspiration and/or injection of fluid from large joint	27	15	$334.67	$58.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$97.17	$44.43
73140 X-ray of finger, minimum of 2 views	17	13	$105.41	$29.40
20605 Aspiration and/or injection of medium joint or joint capsule	16	12	$212.50	$40.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$227.75	$104.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$233.87	$86.27
73080 X-ray of elbow, minimum of 3 views	15	14	$122.00	$25.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	61	$144.72	$60.89
J1020 Injection, methylprednisolone acetate, 20 mg	45	37	$12.00	$3.53
J1030 Injection, methylprednisolone acetate, 40 mg	43	28	$21.00	$6.05
73110 X-ray of wrist, minimum of 3 views	32	22	$127.88	$31.73
20600 Aspiration and/or injection of fluid from small joint	29	20	$216.00	$41.71
20550 Injection into tendon or ligament	25	22	$219.44	$42.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$223.25	$88.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$233.00	$87.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	59	$140.89	$59.35
J1030 Injection, methylprednisolone acetate, 40 mg	43	29	$21.00	$6.20
73110 X-ray of wrist, minimum of 3 views	37	22	$129.73	$27.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$231.33	$84.93
J1020 Injection, methylprednisolone acetate, 20 mg	33	23	$12.00	$3.77
73140 X-ray of finger, minimum of 2 views	26	14	$100.23	$26.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$214.05	$88.11
20600 Aspiration and/or injection of fluid from small joint	21	15	$207.14	$38.67
73130 X-ray of hand, minimum of 3 views	17	14	$128.53	$29.64
20550 Injection into tendon or ligament	17	12	$211.00	$40.30
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$226.67	$38.14
20610 Aspiration and/or injection of fluid from large joint	14	12	$322.71	$54.94
73080 X-ray of elbow, minimum of 3 views	12	11	$132.17	$22.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	83	45	$21.00	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	82	68	$135.00	$57.43
73110 X-ray of wrist, minimum of 3 views	48	29	$122.92	$27.64
J1020 Injection, methylprednisolone acetate, 20 mg	37	25	$12.00	$4.69
20600 Aspiration and/or injection of fluid from small joint	24	19	$232.00	$34.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$222.00	$85.65
20550 Injection into tendon or ligament	23	17	$211.00	$36.71
20605 Aspiration and/or injection of medium joint or joint capsule	19	16	$252.63	$45.57
20610 Aspiration and/or injection of fluid from large joint	17	13	$280.53	$46.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$205.00	$81.40
73130 X-ray of hand, minimum of 3 views	14	11	$123.21	$25.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	70	$131.85	$56.37
J1030 Injection, methylprednisolone acetate, 40 mg	61	35	$21.00	$5.88
73110 X-ray of wrist, minimum of 3 views	33	24	$118.09	$28.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$215.69	$84.22
73130 X-ray of hand, minimum of 3 views	24	17	$120.46	$24.00
20600 Aspiration and/or injection of fluid from small joint	20	14	$195.70	$37.49
20610 Aspiration and/or injection of fluid from large joint	15	12	$294.40	$50.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$202.69	$84.41

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License IN 10001118A

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License OH 50-002861

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

OPR (IN)

Commercial Insurance / Payer ID Anthem

000000626650 (IN)

Commercial Insurance / Payer ID Nccpa

1084497 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00877355

Hospital & Practice Group Affiliations

Fort Wayne Orthopaedics, Llc

7601 W Jefferson Blvd, Fort Wayne, IN 468044133

Phone: 2604368686

Orthopaedics-Indianapolis Inc

10106 Dupont Circle Dr E, Fort Wayne, IN 468251640

Phone: 8005665659

Fort Wayne Orthopaedics, Llc

7631 W Jefferson Blvd, Fort Wayne, IN 468044133

Phone: 2604367770

Fort Wayne Orthopaedics, Llc

7619 W Jefferson Blvd, Fort Wayne, IN 468044133

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Gage Caudell , DPM

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Doctor of Podiatric Medicine

Jamie Matz , NP

Nurse Practitioner - Family

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Nurse Practitioner

Dr. Dominick Detommaso , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013910041

Doctor of Podiatric Medicine

Peter Paonessa , PT

Physical Therapist

NPI 1013910934

Physical Therapist

Hope Royce , NP

Nurse Practitioner - Family

NPI 1023418183

Nurse Practitioner

Dr. Jonathan Detommaso , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1033476304

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2016

Registered at 7601 W JEFFERSON BLVD, FORT WAYNE, IN 468044133 (Tel: 2604368686)

📍

Updated Business Mailing Address November 07, 2016

Registered at PO BOX 2526, FORT WAYNE, IN 468012526 (Tel: 2604368686)

👤

Provider Name / Credentials Updated November 07, 2016

Recorded as DAVID DAUGHERTY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Physician Assistant (License #10001118A in IN)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689648214

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2006

Last Update: November 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2526

Fort Wayne, IN 468012526

Phone: 2604368686

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.