DR. DAVID DOUGHERTY (M.D.) – Infectious Disease Physician, NPI 1104261445

DR. DAVID DOUGHERTY (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 50868 (KY). The NPI Number for DR. DAVID DOUGHERTY (M.D.) is 1104261445

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID DOUGHERTY (M.D.)
NPI
1104261445
Phone
(859) 277-4005
Address
1720 NICHOLASVILLE RD STE 602
Enumeration Date
30 April 2013
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8592774005
Graduation Year
2013 (13 years ago)
PAC ID
2567603947
Group Practice PAC ID
5193706174
Professional Enrollment ID
I20180608000857
Address ID
KY405031488LE1720XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

115 INFECTIOUS DISEASE in KY

Provider Addresses for DR. DAVID DOUGHERTY (M.D.)

  • 1720 NICHOLASVILLE RD STE 602

    LEXINGTON, KY 405031488

    Phone: (859) 277-4005

    Fax: (859) 278-2507

    Type: Location

  • 625 19th St S

    Birmingham, AL 352331900

    Phone: (859) 552-6611

    Type: Location

  • 1161 21st Ave S

    Nashville, TN 372321900

    Phone: (615) 322-2035

    Fax: (615) 343-6160

    Type: Location

  • 1161 21ST AVE S

    NASHVILLE, TN 372322605

    Phone: (615) 322-2035

    Fax: (615) 343-6160

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 215 Open Payments records for all available years, with a total value of $58,995.

Total Amount is formed as General ($58,995) + Research ($0) + Ownership ($0) = $58,995.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($57,202).

Total Amount

$58,995

General + Research + Ownership

Payments

215

Total payment records

General Amount

$58,995

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-06-08

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
I20180608000857IInfectious DiseaseKYTBD

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
J0878Injection, daptomycin, 1 mg29,70028$0
J0696Injection, ceftriaxone sodium, per 250 mg80839$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes707166$0
99214Established patient office or other outpatient visit, 30-39 minutes276100$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less24586$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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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: 5193706174View full group profile
NameSpecialtyState
-KY
Internal MedicineKY
Nurse PractitionerKY
Infectious Disease, Internal MedicineKY
Infectious Disease, Internal MedicineKY
Infectious Disease, Internal MedicineKY
Infectious Disease, Internal MedicineKY
Infectious Disease, Internal MedicineKY
Infectious Disease, Internal MedicineKY
Physician AssistantKY

Reviews

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Frequently asked questions

Is DR. DAVID DOUGHERTY (M.D.) listed with a National Provider Identifier?
Yes — DR. DAVID DOUGHERTY (M.D.) has NPI 1104261445 on file in the registry.
Is there an active status for DR. DAVID DOUGHERTY (M.D.)?
For scheduling context, DR. DAVID DOUGHERTY (M.D.) is shown as active in the registry.
How would a patient describe DR. DAVID DOUGHERTY (M.D.)'s focus?
For DR. DAVID DOUGHERTY (M.D.), the primary taxonomy reads as Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Kentucky is DR. DAVID DOUGHERTY (M.D.) registered?
Use Lexington, Kentucky as the headline location for DR. DAVID DOUGHERTY (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.