Active NPI 1932186210 Individual Practitioner Male Practitioner

Michael D Dougherty , PA

Physician Assistant • Fort Atkinson, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Dougherty, PA is a certified Physician Assistant practicing in Fort Atkinson, WI. With approximately 31 years of clinical experience since completing medical education in 1995, Michael Dougherty delivers high-quality medical care to the local community at 611 SHERMAN AVE EAST.

Michael Dougherty is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, inhalation treatment for airway obstruction or sputum production. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 Sherman Ave East

Fort Atkinson, WI 53538

Telephone 9205685330

Associated Practice Facility / Clinic

🏢 Fort Atkinson Emergency Physicians, S.c. Facility NPI 1962483792

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Atkinson, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +12.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Fort Atkinson, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (31 Years) 31 Yrs

Fort Atkinson Specialty Average (18.7 Years) 18.7 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	66	66	$350.00	$72.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$515.00	$98.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$510.00	$86.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$755.00	$132.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	70	$330.00	$70.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$490.00	$102.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$485.00	$89.02
94640 Inhalation treatment for airway obstruction or sputum production	13	12	$145.00	$7.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	12	$1.00	$0.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$690.00	$143.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$720.00	$132.79
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$190.00	$11.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	105	$313.00	$72.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	96	$465.00	$103.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$460.00	$90.16
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	14	12	$1.00	$0.13
94640 Inhalation treatment for airway obstruction or sputum production	14	13	$145.00	$8.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$658.00	$145.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	139	$435.00	$105.86
99213 Established patient office or other outpatient visit, typically 15 minutes	113	111	$295.00	$74.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$430.00	$91.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$95.00	$11.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	145	$416.00	$87.38
99213 Established patient office or other outpatient visit, typically 15 minutes	125	124	$281.00	$60.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	240	$265.00	$60.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	90	$393.00	$87.19
94640 Inhalation treatment for airway obstruction or sputum production	26	22	$180.00	$14.55
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	23	17	$1.00	$0.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$97.00	$6.96
90471 Administration of 1 vaccine	11	11	$56.36	$13.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	135	$252.00	$58.95
99285 Emergency department visit for life threatening or functioning severity	74	73	$892.00	$139.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	61	$272.05	$87.90
99284 Emergency department visit with moderate level of medical decision making	47	47	$605.38	$93.54
99283 Emergency department visit with low level of medical decision making	24	23	$408.67	$48.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$182.00	$35.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$241.56	$85.75
99285 Emergency department visit for life threatening or functioning severity	41	41	$854.29	$135.80
99284 Emergency department visit with moderate level of medical decision making	26	26	$579.88	$94.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$266.04	$85.85
99283 Emergency department visit with low level of medical decision making	17	17	$386.65	$49.58

Medical Specialties & State Licenses

CMS Verified: 2021-12-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 848-023

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

42962600 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

3289 N Mayfair Rd, Wauwatosa, WI 532223203

Phone: 4147717900

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

215 W Washington St, Grafton, WI 530241700

Phone: 2623753700

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Practice Associates & Co-Workers

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

9 Associated Practitioners

Patricia Steckelmann , PA

Physician Assistant

NPI 1003895319

Physician Assistant

Dr. Robert Sievert , DO

Emergency Medicine

NPI 1003895467

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Schlais , MD

Emergency Medicine

NPI 1326027772

Doctor of Medicine (M.D.)

Dr. Ronald Meyer , MD

Emergency Medicine

NPI 1376522730

Doctor of Medicine (M.D.)

Dr. George Keng , MD

Emergency Medicine

NPI 1386623684

Doctor of Medicine (M.D.)

Dr. Bret Hunt , MD

Emergency Medicine

NPI 1629332085

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 August 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2013

Registered at 611 SHERMAN AVE EAST, FORT ATKINSON, WI 53538 (Tel: 9205685330)

📍

Updated Business Mailing Address August 14, 2013

Registered at 6400 INDUSTRIAL LOOP, GREENDALE, WI 531292452 (Tel: 4144234100)

👤

Provider Name / Credentials Updated August 14, 2013

Recorded as MICHAEL DOUGHERTY, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Physician Assistant (License #848-023 in WI)

🟢

Initial NPI Registration & Enumeration December 28, 2005

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: 1932186210

Entity Type:

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

Enumeration Date: December 28, 2005

Last Update: December 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6400 Industrial Loop

Greendale, WI 531292452

Phone: 4144234100

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.