MRS. LAURA DESIREE DOUGHERTY (P.A.) – Medical Physician Assistant, NPI 1316913387
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MRS. LAURA DESIREE DOUGHERTY (P.A.)
PO BOX 26170
SAN FRANCISCO, CA 941266170
Phone: (415) 658-6791
Fax: (415) 520-0904
Type: Mailing
9775 SE SUNNYSIDE RD STE 500
CLACKAMAS, OR 970155724
Phone: (503) 654-7546
Fax: (503) 786-3542
Type: Mailing
Embarcadero Center 2, Commercial Street, Embarcadero Center 2, Financial District, San Francisco, California, 94111, United States
LOBBY LEVEL
SAN FRANCISCO, CA 941113823
Phone: (415) 578-3100
Fax: (415) 291-0489
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $2,058.
Total Amount is formed as General ($2,058) + Research ($0) + Ownership ($0) = $2,058.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($390).
Total Amount
$2,058
General + Research + Ownership
Payments
44
Total payment records
General Amount
$2,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $390 |
| UCB, Inc. | $296 |
| Regeneron Healthcare Solutions, Inc. | $208 |
| GENZYME CORPORATION | $182 |
| PFIZER INC. | $158 |
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: 2018-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181219001172 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 284 | 227 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 183 | 73 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 127 | 112 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 106 | 99 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 87 | 80 | $0 |
Insurance plans in this area (ZIP 94126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | NM | |
| Physician Assistant | OR | |
| - | WI | |
| D E R M A T O L O G Y | OR |
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