MARK H DOUGHERTY (M.D.) – Anesthesiology Physician, NPI 1427016542

MARK H DOUGHERTY (M.D.) is a healthcare provider. based in Peabody, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 79956 (MA). The NPI Number for MARK H DOUGHERTY (M.D.) is 1427016542

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MARK H DOUGHERTY (M.D.)
NPI
1427016542
Phone
(978) 818-6501
Address
1 ORTHOPEDICS DR
Enumeration Date
1 May 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9788186500
Graduation Year
1993 (33 years ago)
PAC ID
1759352479
Group Practice PAC ID
7416233234
Professional Enrollment ID
I20050718000556
Address ID
MA019601668PE1XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for MARK H DOUGHERTY (M.D.)

  • 1 ORTHOPEDICS DR

    PEABODY, MA 019601668

    Phone: (978) 818-6501

    Type: Mailing

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    SUITE 325

    WESTWOOD, MA 020902321

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: PENTAX of America, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PENTAX of America, Inc.$24
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: 2005-07-18

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
I20050718000556IAnesthesiologyMATBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance9179$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand4543$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2624$0
00640Anesthesia for manipulation or closed procedure of spine2323$0
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 01960)

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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: 7416233234View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is MARK H DOUGHERTY (M.D.)'s NPI number?
MARK H DOUGHERTY (M.D.)'s NPI is 1427016542 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARK H DOUGHERTY (M.D.)?
You should see MARK H DOUGHERTY (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with MARK H DOUGHERTY (M.D.)?
MARK H DOUGHERTY (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARK H DOUGHERTY (M.D.)?
Directory geography for MARK H DOUGHERTY (M.D.) centers on Peabody, Massachusetts.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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