DR. AMBER LYN DAUGHERTY (MD) – Family Medicine Physician, NPI 1124273875
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for DR. AMBER LYN DAUGHERTY (MD)
16361, Village Parkway, Fredericktown, Wayne Township, Knox County, Ohio, 43019, United States
FREDERICKTOWN, OH 430199585
Phone: (740) 694-2110
Fax: (740) 694-2127
Type: Location
1330 COSHOCTON AVE
MOUNT VERONO, OH 43050
Phone: (740) 393-9000
Fax: (740) 392-0167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $814.
Total Amount is formed as General ($814) + Research ($0) + Ownership ($0) = $814.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($158).
Total Amount
$814
General + Research + Ownership
Payments
44
Total payment records
General Amount
$814
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $158 |
| Novo Nordisk Inc | $103 |
| AstraZeneca Pharmaceuticals LP | $67 |
| Astellas Pharma US Inc | $59 |
| Amgen Inc. | $45 |
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: 2011-07-19
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 |
|---|---|---|---|---|
| I20110719000844 | I | Family Practice | OH | 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 | 264 | 147 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 104 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 111 | 111 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 106 | 106 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 43019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Family Practice | OH | |
| Family Practice, Obstetrics/Gynecology | OH | |
| - | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH |
Reviews
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