DR. LARRY CALVIN DAUGHERTY (M.D.) – Radiation Oncology Physician, NPI 1407011208

DR. LARRY CALVIN DAUGHERTY (M.D.) is a healthcare provider. based in Anchorage, Alaska. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MT193247 (PA). The NPI Number for DR. LARRY CALVIN DAUGHERTY (M.D.) is 1407011208

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY CALVIN DAUGHERTY (M.D.)
NPI
1407011208
Phone
(907) 276-2803
Address
188 W NORTHERN LIGHTS BLVD STE 800
Enumeration Date
22 July 2008
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
9072627762
Graduation Year
2007 (19 years ago)
PAC ID
5991954570
Group Practice PAC ID
3274777974
Professional Enrollment ID
I20140924002273
Address ID
AK996697559SO240XXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:17State licenses:3Digital endpointsOther names

15 RADIATION ONCOLOGY in AK

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Provider Addresses for DR. LARRY CALVIN DAUGHERTY (M.D.)

  • 800, West Northern Lights Boulevard, Anchorage, Alaska, 99503, United States

    ANCHORAGE, AK 995033984

    Phone: (907) 276-2803

    Type: Mailing

  • 100, West Northern Lights Boulevard, Anchorage, Alaska, 99503, United States

    ANCHORAGE, AK 995033902

    Phone: (907) 276-2803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($95).

Total Amount

$134

General + Research + Ownership

Payments

3

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140924002273IRadiation OncologyAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G6017Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment27448$0
77014Ct guidance for insertion of radiation therapy fields26044$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session25841$0
77427Radiation treatment management, 5 treatment sessions5845$0
77336Continuing radiation therapy consultation per week4836$0
View full utilization report →

Insurance plans in this area (ZIP 99503)

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Provider's Procedures

DR. LARRY CALVIN DAUGHERTY (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYAK77263Management of radiation therapy, complex6048
RADIATION ONCOLOGYAK77300Calculation of radiation therapy dose16750

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274777974View full group profile
NameSpecialtyState
Radiation OncologyWA
Radiation OncologyTX
Radiation OncologyWA
Nurse PractitionerWA
Registered Dietitian Or Nutrition ProfessionalAK
Radiation OncologyWA
Radiation OncologyWA
Radiation OncologyAK
Radiation OncologyWA

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Frequently asked questions

Can I cross-check DR. LARRY CALVIN DAUGHERTY (M.D.) using NPI 1407011208?
NPI 1407011208 belongs to DR. LARRY CALVIN DAUGHERTY (M.D.); compare other details if you need extra assurance.
Is DR. LARRY CALVIN DAUGHERTY (M.D.) still an active registrant?
DR. LARRY CALVIN DAUGHERTY (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. LARRY CALVIN DAUGHERTY (M.D.)?
DR. LARRY CALVIN DAUGHERTY (M.D.) is associated with Radiation Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LARRY CALVIN DAUGHERTY (M.D.) located near Anchorage?
DR. LARRY CALVIN DAUGHERTY (M.D.) currently maps to Anchorage, Alaska in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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