Jacob Dougherty , AGACNP-BC
Nurse Practitioner - Gerontology • Centerville, OH
Professional Overview & Biography Verified Profile Summary
Jacob Dougherty, AGACNP-BC is a certified Nurse Practitioner - Gerontology practicing in Centerville, OH. With approximately 4 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2022, Jacob Dougherty delivers high-quality medical care to the local community at 2400 MIAMI VALLEY DR.
Jacob Dougherty maintains professional affiliations with Rajesh C Patel Md Inc, Kettering Independent Medical Group Inc and accepts Medicare assignment.
Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first, ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
2400 Miami Valley Dr
Centerville, OH 454594774
Medicare Profile & Education
University Of Cincinnati College Of Medicine
2022
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Gerontology in Centerville, OH
Practicing in Centerville, OH (529 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
14 | 14 | $150.00 | $105.40 |
|
99291
Critical care, first 30-74 minutes
|
13 | 12 | $400.00 | $172.19 |
|
76937
Ultrasonic guidance for blood vessel access
|
12 | 12 | $50.00 | $11.22 |
|
36556
Insertion of non-tunneled central venous tube for infusion (5 years or older)
|
11 | 11 | $350.00 | $68.18 |
Medical Specialties & State Licenses
CMS Verified: 2026-03-11NUCC Taxonomy Code: 363LG0600X
Definition to come...
Hospital & Practice Group Affiliations
Rajesh C Patel Md Inc
9001 N Main St, Dayton, OH 454151154
Phone: 9378320990
Kettering Independent Medical Group Inc
3095 Dayton Xenia Rd, Dayton, OH 454344311
Phone: 9374584010
Secondary Practice Locations
3095 Dayton Xenia Rd Ste 900
Dayton, OH 454344311
Phone: 9374584010
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Acute Care
Nurse Practitioner - Acute Care
Nurse Practitioner
General Acute Care Hospital
Certified Athletic Trainer
Specialist/Technologist - Athletic Trainer
Certified Athletic Trainer
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Nurse Practitioner - Adult Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Nurse Practitioner (License #APRN.CNP.0032076 in OH)
Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621306)
Registered at 2400 MIAMI VALLEY DR, CENTERVILLE, OH 454594774 (Tel: 9374382400)
NPI status registered as active in NPPES database
Registered at 3000 MACK RD, FAIRFIELD, OH 450145335 (Tel: 5138707000)
Registered at 463 COLUMBUS AVE UNIT 23, LEBANON, OH 450362688
Recorded as JACOB DOUGHERTY, AGACNP-BC
Nurse Practitioner (License #APRN.CNP.0032076 in OH)
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
Mailing Address
1 Prestige Pl Ste 550
Miamisburg, OH 453426115
Phone: 9377621306
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.