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Active NPI 1487323036 Individual Practitioner Female Practitioner

Mary Kay Daugherty , PA-C

Physician Assistant - Surgical • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Daugherty, PA-C is a certified Physician Assistant - Surgical practicing in Tulsa, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Mary Daugherty delivers high-quality medical care to the local community at 1809 E 13TH ST STE 200.

Mary Daugherty maintains professional affiliations with Stillwater Medical Center Authority, Ahs Oklahoma Physician Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, established patient outpatient office visit, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1809 E 13th St Ste 200

Tulsa, OK 741044431

Telephone 9185792300

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Tulsa, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Tulsa, OK (113 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (5 Years) 5 Yrs
Tulsa Specialty Average (10.8 Years) 10.8 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
99284 Emergency department visit with moderate level of medical decision making
16 16 $116.63 $96.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 11 $155.00 $100.71
99283 Emergency department visit with low level of medical decision making
11 11 $66.84 $56.91

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OK 4776

Definition to come...

Hospital & Practice Group Affiliations

Ahs Oklahoma Physician Group Llc

6901 S Olympia Ave, Tulsa, OK 741321843

Phone: 9183885701

Stillwater Medical Center Authority

1323 Nw 6th Ave, Stillwater, OK 740744306

Phone: 4053721480

Stillwater Medical Center Authority

417 Fairview Ave, Ponca City, OK 746011923

Phone: 5807623770

Ahs Oklahoma Physician Group Llc

20 E 34th St, Sand Springs, OK 740634001

Phone: 9182459675

Ahs Oklahoma Physician Group Llc

8801 S 101st E Ave, Tulsa, OK 741335716

Phone: 9182944000

Ahs Oklahoma Physician Group Llc

1809 E 13th St, Tulsa, OK 741044431

Ahs Oklahoma Physician Group Llc

1308 E Carl Albert Pkwy, Mcalester, OK 745015236

Phone: 9185586970

Stillwater Medical Center Authority

1323 W, Stillwater, OK 740744306

Ahs Oklahoma Physician Group Llc

1120 S Utica Ave, Tulsa, OK 741044012

Phone: 9185799393

Stillwater Medical Center Authority

1323 W 6th Ave, Stillwater, OK 740744306

Phone: 4053721480

Practice Associates & Co-Workers

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

5 Associated Practitioners
Ashley Rea , PA

Physician Assistant

NPI 1053610568

Physician Assistant

Dr. Christopher Treat , DO

Orthopaedic Surgery - Hand Surgery

NPI 1558771618

Doctor of Osteopathic Medicine (D.O.)

Clinton Cator , PA

Physician Assistant

NPI 1609117498

Physician Assistant

Dr. Chad Crawley , DO

Orthopaedic Surgery

NPI 1720282478

Doctor of Osteopathic Medicine (D.O.)

Dr. Christian Luessenhop , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1831177047

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 11, 2025

Registered at 1809 E 13TH ST STE 200, TULSA, OK 741044431 (Tel: 9185792300)

📍
Updated Business Mailing Address August 11, 2025

Registered at 1809 E 13TH ST STE 200, TULSA, OK 741044431 (Tel: 9185792300)

📍
Updated Practice Location June 24, 2024

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184583100)

📍
Updated Business Mailing Address June 24, 2024

Registered at 515 N DATE AVE, BROKEN ARROW, OK 740122526 (Tel: 8434754052)

👤
Provider Name / Credentials Updated June 24, 2024

Recorded as MARY DAUGHERTY, PA-C

📍
Updated Practice Location May 13, 2022

Registered at 8803 S 101ST EAST AVE STE 100, TULSA, OK 741337546 (Tel: 9185792300)

📍
Updated Business Mailing Address May 13, 2022

Registered at 1145 S UTICA AVE STE 110, TULSA, OK 741044013 (Tel: 9185793825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2022

Physician Assistant (License #4776 in OK)

NPI Profile Active September 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2021

Registered at 4689 HIGHWAY 17, SUITE 11, FLEMING ISLAND, FL 32003 (Tel: 9043759753)

📍
Updated Business Mailing Address September 08, 2021

Registered at 11540 RED KOI DR, JACKSONVILLE, FL 322262173 (Tel: 8434754052)

👤
Provider Name / Credentials Updated September 08, 2021

Recorded as MARY DAUGHERTY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 08, 2021

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: 1487323036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2021
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

1809 E 13th St Ste 200

Tulsa, OK 741044431

Phone: 9185792300

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.