MRS. AMIE DOUGHERTY BEALS (PA-C) – Physician Assistant, NPI 1396730479

MRS. AMIE DOUGHERTY BEALS (PA-C) is a healthcare provider. based in Springfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50-00-1268 (OH). The NPI Number for MRS. AMIE DOUGHERTY BEALS (PA-C) is 1396730479

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMIE DOUGHERTY BEALS (PA-C)
NPI
1396730479
Phone
(937) 418-8226
Address
2905 KILKENNY DR
Enumeration Date
15 September 2005
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
9373981066
Graduation Year
1998 (28 years ago)
PAC ID
4789697103
Group Practice PAC ID
8325074529
Professional Enrollment ID
I20060801000039
Address ID
OH455021369SP140XXSTXX401
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

5,036 PHYSICIAN ASSISTANT in OH

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Provider Addresses for MRS. AMIE DOUGHERTY BEALS (PA-C)

  • 2905, Kilkenny Drive, Seans Woods, Springfield, Clark County, Ohio, 45503, United States

    SPRINGFIELD, OH 455037104

    Phone: (937) 418-8226

    Type: Mailing

  • 140, West Main Street, Springfield, Clark County, Ohio, 45502, United States

    SUITE 100

    SPRINGFIELD, OH 455021312

    Phone: (937) 398-1066

    Fax: (937) 398-1076

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($40).

Total Amount

$186

General + Research + Ownership

Payments

8

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2006-08-01

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
I20060801000039IPhysician AssistantOHTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,26014$0
J1100Injection, dexamethasone sodium phosphate, 1 mg964132$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg964132$0
99213Established patient office or other outpatient visit, 20-29 minutes282182$0
20610Aspiration and/or injection of fluid from large joint220115$0
View full utilization report →

Insurance plans in this area (ZIP 45503)

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Provider's Procedures

MRS. AMIE DOUGHERTY BEALS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH73110X-ray of wrist, minimum of 3 views1611
PHYSICIAN ASSISTANTOH73562X-ray of knee, 3 views4340

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: 8325074529View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

How do I look up MRS. AMIE DOUGHERTY BEALS (PA-C) by NPI?
Use NPI 1396730479 when you need to reference MRS. AMIE DOUGHERTY BEALS (PA-C) in forms, claims, or directories.
Is MRS. AMIE DOUGHERTY BEALS (PA-C) currently active in the NPI registry?
CMS-published data lists MRS. AMIE DOUGHERTY BEALS (PA-C) as an active registrant.
What field does MRS. AMIE DOUGHERTY BEALS (PA-C) work in?
You can think of MRS. AMIE DOUGHERTY BEALS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. AMIE DOUGHERTY BEALS (PA-C)'s primary listing?
We display Springfield, Ohio because that is what the record indicates for MRS. AMIE DOUGHERTY BEALS (PA-C).
What if Springfield, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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