MRS. CLARA WERNER DOUGHERTY (PA-C) – Medical Physician Assistant, NPI 1609987619
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MRS. CLARA WERNER DOUGHERTY (PA-C)
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 921275705
Phone: (760) 704-5730
Type: Mailing
PO BOX 33865
SAN DIEGO, CA 921633865
Phone: (858) 888-7700
Fax: (858) 888-7721
Type: Mailing
2205 Vista Way
Oceanside, CA 920545661
Phone: (760) 704-5730
Type: Location
La Jolla Cosmetic Surgery Centre, 9850, Genesee Avenue, Torrey Pines, San Diego, San Diego County, California, 92037, United States
SUITE 400
LA JOLLA, CA 920371224
Phone: (858) 453-5944
Fax: (858) 429-7925
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,494.
Total Amount is formed as General ($1,494) + Research ($0) + Ownership ($0) = $1,494.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($411).
Total Amount
$1,494
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,494
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $411 |
| ABBVIE INC. | $148 |
| Janssen Scientific Affairs, LLC | $143 |
| Sumitomo Pharma America, Inc. | $112 |
| ConvaTec Inc. | $90 |
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019000565 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 22 | 18 | $0 |
| 64566 | Insertion of lower leg neurostimulator electrode | 16 | 14 | $0 |
Insurance plans in this area (ZIP 92127)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
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