Active NPI 1760414890 Individual Practitioner Female Practitioner

Dr. Cynthia A Dougherty , MD

Surgery • Warrenton, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cynthia Dougherty, MD is a certified Surgery practicing in Warrenton, VA. With approximately 34 years of clinical experience since graduating from Medical College Of Ohio in 1992, Dr. Dougherty delivers high-quality medical care to the local community at 432 HOSPITAL DRIVE.

Dr. Dougherty is affiliated with Fauquier Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

432 Hospital Drive

Warrenton, VA 20110

Telephone 5403472805

Fax 5403475399

Associated Practice Facility / Clinic

🏢 Northern Virginia Surgical Specialists Ltd Facility NPI 1801953203

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Warrenton, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +17.0 yrs vs City Avg

City Avg: 17.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Warrenton, VA (909 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (34 Years) 34 Yrs

Warrenton Specialty Average (17.0 Years) 17.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$173.37	$87.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$107.83

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	17	17	$255.00	$110.67
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$173.00	$89.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$132.31	$90.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$191.31	$67.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$322.33	$167.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$228.24	$112.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$213.33	$118.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	32	$192.55	$71.42
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$125.00	$91.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$325.00	$135.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$220.00	$112.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$203.57	$130.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$126.32	$75.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$220.00	$106.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$325.00	$138.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$193.08	$109.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$315.00	$154.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	28	$195.00	$69.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	43	$190.65	$104.80
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$131.48	$71.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$215.00	$103.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$325.00	$131.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$125.00	$37.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$315.00	$158.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	41	$196.71	$68.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	61	$186.86	$101.61
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$125.60	$68.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$315.00	$155.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$325.00	$129.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$220.00	$101.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$125.00	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	62	$195.00	$69.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	52	$190.46	$101.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	48	$324.15	$128.75
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$125.00	$69.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$315.00	$156.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	21	$125.00	$37.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$220.00	$103.18

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101055913

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

007312296 (VA)

Commercial Insurance / Payer ID Anthem Bcbs

292150 (VA)

Hospital & Practice Group Affiliations

Fauquier Physician Practices Llc

550 Hospital Dr, Warrenton, VA 201863027

Phone: 5403165940

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Joseph Brown , MD

Surgery

NPI 1679505705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2010

Registered at 432 HOSPITAL DRIVE, WARRENTON, VA 20110 (Tel: 5403472805)

📍

Updated Business Mailing Address April 05, 2010

Registered at 8650 SUDLEY ROAD, # 206, MANASSAS, VA 20110 (Tel: 7033689234)

👤

Provider Name / Credentials Updated April 05, 2010

Recorded as CYNTHIA DOUGHERTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2010

Surgery (License #0101055913 in VA)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1760414890

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: April 05, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8650 Sudley Road, # 206

Manassas, VA 20110

Phone: 7033689234

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.