DR. KEVIN RUSSELL DOUGHERTY (M.D.) – Cardiovascular Disease Physician, NPI 1114188711
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CT
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Provider Addresses for DR. KEVIN RUSSELL DOUGHERTY (M.D.)
Western Boulevard, Glastonbury, Hartford County, Connecticut, 06033, United States
SUITE 100
GLASTONBURY, CT 060334380
Phone: (860) 522-0604
Fax: (860) 522-1761
Type: Mailing
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
SUITE 719
HARTFORD, CT 061065501
Phone: (860) 522-0604
Fax: (860) 522-1761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $733.
Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: CVRx, Inc. ($166).
Total Amount
$733
General + Research + Ownership
Payments
16
Total payment records
General Amount
$733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CVRx, Inc. | $166 |
| Impulse Dynamics (USA) Inc. | $149 |
| Lexicon Pharmaceuticals, Inc. | $127 |
| Novo Nordisk Inc | $116 |
| PFIZER INC. | $50 |
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: 2014-08-13
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 |
|---|---|---|---|---|
| I20140813001262 | I | Cardiovascular Disease (Cardiology) | CT | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 730 | 562 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 615 | 479 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 565 | 483 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 116 | 113 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 106 | 37 | $0 |
Insurance plans in this area (ZIP 06033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CT | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 26 | 26 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CT | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 517 | 391 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CT | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NY | |
| Physician Assistant | CT | |
| Internal Medicine, Hospitalist | TN | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| N E U R O L O G Y | CT | |
| Physician Assistant | CT | |
| Internal Medicine | CT | |
| - | CT | |
| - | CT |
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