DAVID ALAN DAUGHERTY (PA-C) – Surgical Physician Assistant, NPI 1689648214
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
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Provider Addresses for DAVID ALAN DAUGHERTY (PA-C)
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
FORT WAYNE, IN 468012526
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Mailing
7601, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Location
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: 2009-09-29
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 |
|---|---|---|---|---|
| I20090929000434 | I | Physician Assistant | IN | 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 | 142 | 104 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 56 | 38 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 49 | 30 | $0 |
| 20550 | Injection into tendon or ligament | 41 | 32 | $0 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | 39 | 28 | $0 |
Insurance plans in this area (ZIP 46801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Sports Medicine | IN |
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