RUSSELL DAUGHERTY (M.D.) – Emergency Medicine Physician, NPI 1275522039

RUSSELL DAUGHERTY (M.D.) is a healthcare provider. based in Rushville, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01042648A (IN). The NPI Number for RUSSELL DAUGHERTY (M.D.) is 1275522039

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL DAUGHERTY (M.D.)
NPI
1275522039
Phone
(765) 932-4111
Address
1300 N MAIN ST
Enumeration Date
14 October 2005
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3178023106
Graduation Year
1993 (33 years ago)
PAC ID
3274525217
Group Practice PAC ID
7618130014
Professional Enrollment ID
I20090218000314

Contacts

Secure Messaging
RussellDaugherty@rushmemorial.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,511 INTERNAL MEDICINE in IN

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Provider Addresses for RUSSELL DAUGHERTY (M.D.)

  • Rush Memorial Hospital, 1300, North Main Street, Rushville, Rush County, Indiana, 46173, United States

    RUSHVILLE, IN 461731198

    Phone: (765) 932-4111

    Fax: (765) 932-7505

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-18

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
I20090218000314IInternal MedicineINTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only238179$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8479$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7637$0
99239Hospital discharge day management, more than 30 minutes7264$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4235$0
View full utilization report →

Insurance plans in this area (ZIP 46173)

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Provider's Procedures

RUSSELL DAUGHERTY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report591338

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: 7618130014View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for RUSSELL DAUGHERTY (M.D.)?
RUSSELL DAUGHERTY (M.D.) — NPI 1275522039 — is the standard way to identify this listing.
Is RUSSELL DAUGHERTY (M.D.) still practicing?
RUSSELL DAUGHERTY (M.D.) is currently listed as active in the public NPI registry.
What is RUSSELL DAUGHERTY (M.D.) best known for clinically?
Directory data describes RUSSELL DAUGHERTY (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RUSSELL DAUGHERTY (M.D.) on a map?
Expect Rushville, Indiana as a primary anchor for RUSSELL DAUGHERTY (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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