MRS. CARRIE A DOHERTY (P.A.) – Physician Assistant, NPI 1548218191
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for MRS. CARRIE A DOHERTY (P.A.)
24, Battle Street, Somers, Tolland County, Connecticut, 06071, United States
SOMERS, CT 060711629
Phone: (860) 749-8887
Fax: (860) 749-7421
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($184).
Total Amount
$275
General + Research + Ownership
Payments
20
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $184 |
| Lilly USA, LLC | $26 |
| Abbott Laboratories | $24 |
| Novo Nordisk Inc | $22 |
| Exact Sciences Corporation | $20 |
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: 2005-09-28
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 |
|---|---|---|---|---|
| I20050928000717 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 90 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 34 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 32 | 24 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 30 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $0 |
Insurance plans in this area (ZIP 06071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| Emergency Medicine | RI | |
| - | GA | |
| Physician Assistant | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| Physician Assistant | CT | |
| General Surgery, Surgical Oncology | CT |
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