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Active NPI 1487600797 Individual Practitioner Male Practitioner

John F Dougherty , PA-C

Physician Assistant • Louisville, KY

Professional Overview & Biography Verified Profile Summary

John Dougherty, PA-C is a registered healthcare professional specializing in Physician Assistant in Louisville, KY. Practice services are available at 3303 FERN VALLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3303 Fern Valley Rd

Louisville, KY 402133529

Telephone 5029644889
Fax 5029649769
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
345 Specialists

Practicing in Louisville, KY (1973 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.4% 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
19 19 $203.58 $86.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA416

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.

Preventive Medicine - Occupational Medicine

NUCC Taxonomy Code: 2083X0100X

State License KY PA416

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
95002689 (KY)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Samuel Coryell , PA-C

Physician Assistant

NPI 1043949126

Physician Assistant (Certified)

Lea Hamilton , APRN

Nurse Practitioner - Family

NPI 1366197238

Advanced Practice Registered Nurse

Dr. Elmang Nchako , MD

Preventive Medicine - Occupational Medicine

NPI 1396919585

Doctor of Medicine (M.D.)

Stacey Sale , PA-C

Physician Assistant

NPI 1417371691

Physician Assistant (Certified)

Dr. Christina Gilles , DPT

Physical Therapist

NPI 1417963240

Doctor of Physical Therapy

Angel Porter , PA

Physician Assistant

NPI 1558562629

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2015

Registered at 3303 FERN VALLEY RD, LOUISVILLE, KY 402133529 (Tel: 5029644889)

📍
Updated Business Mailing Address January 17, 2015

Registered at PO BOX 950248, LOUISVILLE, KY 402950248 (Tel: 5024895730)

👤
Provider Name / Credentials Updated January 17, 2015

Recorded as JOHN DOUGHERTY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2015

Preventive Medicine (License #PA416 in KY)

🟢
Initial NPI Registration & Enumeration May 26, 2006

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: 1487600797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: January 17, 2015
Sole Proprietor: No

Mailing Address

Po Box 950248

Louisville, KY 402950248

Phone: 5024895730

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.