MRS. CLARA WERNER DOUGHERTY (PA-C) – Medical Physician Assistant, NPI 1609987619

MRS. CLARA WERNER DOUGHERTY (PA-C) is a healthcare provider. based in San diego, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17439 (CA). The NPI Number for MRS. CLARA WERNER DOUGHERTY (PA-C) is 1609987619

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CLARA WERNER DOUGHERTY (PA-C)
NPI
1609987619
Phone
(760) 704-5730
Address
10790 RANCHO BERNARDO RD
Enumeration Date
31 August 2006
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
7606336501
Graduation Year
2002 (24 years ago)
PAC ID
6406817998
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20041019000565
Address ID
CA920245142EN354XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041019000565IPhysician AssistantCATBD

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
81003Automated urinalysis test2218$0
64566Insertion of lower leg neurostimulator electrode1614$0
View full utilization report →

Insurance plans in this area (ZIP 92127)

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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: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

Is MRS. CLARA WERNER DOUGHERTY (PA-C) listed with a National Provider Identifier?
Yes — MRS. CLARA WERNER DOUGHERTY (PA-C) has NPI 1609987619 on file in the registry.
Is there an active status for MRS. CLARA WERNER DOUGHERTY (PA-C)?
For scheduling context, MRS. CLARA WERNER DOUGHERTY (PA-C) is shown as active in the registry.
What kind of doctor is MRS. CLARA WERNER DOUGHERTY (PA-C)?
MRS. CLARA WERNER DOUGHERTY (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. CLARA WERNER DOUGHERTY (PA-C) associated with San Diego?
Public fields place MRS. CLARA WERNER DOUGHERTY (PA-C) around San Diego, California. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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