DR. CAROLYN MAUD DOHERTY (M.D.) – Reproductive Endocrinology Physician, NPI 1427163609

DR. CAROLYN MAUD DOHERTY (M.D.) is a healthcare provider. based in Elkhorn, Nebraska. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. 18934 (NE). The NPI Number for DR. CAROLYN MAUD DOHERTY (M.D.) is 1427163609

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN MAUD DOHERTY (M.D.)
NPI
1427163609
Phone
(402) 815-1915
Address
717 N 190TH PLZ
Enumeration Date
20 August 2006
Last Update Date
17 December 2013

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
4028151915
Graduation Year
1986 (40 years ago)
PAC ID
6800956251
Group Practice PAC ID
6901707447
Professional Enrollment ID
I20081115000129
Address ID
NE680223907EL717XXPLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

57 ENDOCRINOLOGY in NE

Provider Addresses for DR. CAROLYN MAUD DOHERTY (M.D.)

  • 717 N 190TH PLZ

    SUITE # 2500

    ELKHORN, NE 680223913

    Phone: (402) 815-1915

    Fax: (402) 815-1065

    Type: Location

  • Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States

    OMAHA, NE 681032797

    Phone: (402) 354-4230

    Fax: (402) 354-6171

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($193).

Total Amount

$308

General + Research + Ownership

Payments

15

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2008-11-15

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
I20081115000129IEndocrinologyNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68022)

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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: 6901707447View full group profile
NameSpecialtyState
-NE
Physician AssistantVA
P A T H O L O G YNE
Nurse PractitionerNE
Cardiovascular Disease (Cardiology), Internal MedicineNE
Nurse PractitionerNE
Maxillofacial SurgeryNE
P A T H O L O G YNE
-NE
-NE

Reviews

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Frequently asked questions

How do I look up DR. CAROLYN MAUD DOHERTY (M.D.) by NPI?
Use NPI 1427163609 when you need to reference DR. CAROLYN MAUD DOHERTY (M.D.) in forms, claims, or directories.
Is DR. CAROLYN MAUD DOHERTY (M.D.) active in the national directory?
DR. CAROLYN MAUD DOHERTY (M.D.)'s public NPI profile is in an active state.
What field does DR. CAROLYN MAUD DOHERTY (M.D.) work in?
You can think of DR. CAROLYN MAUD DOHERTY (M.D.) as practicing within Reproductive Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Does DR. CAROLYN MAUD DOHERTY (M.D.) practice in Nebraska?
You will see Elkhorn, Nebraska on file for DR. CAROLYN MAUD DOHERTY (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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