DR. AMY DOUGHERTY (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1184885881

DR. AMY DOUGHERTY (D.P.M.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 25MD00320000 (NJ). The NPI Number for DR. AMY DOUGHERTY (D.P.M.) is 1184885881

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY DOUGHERTY (D.P.M.)
NPI
1184885881
Phone
(215) 332-5300
Address
8001 ROOSEVELT BLVD
Enumeration Date
24 June 2008
Last Update Date
24 February 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6092987000
Graduation Year
2008 (18 years ago)
PAC ID
4880861269
Group Practice PAC ID
1850295817
Professional Enrollment ID
I20150812007124
Address ID
NJ080229506CO1XXXXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,279 PODIATRY in PA

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Provider Addresses for DR. AMY DOUGHERTY (D.P.M.)

  • 8001, Roosevelt Boulevard, Pennypack Park, Philadelphia, Philadelphia County, Pennsylvania, 19152, United States

    SUITE 203

    PHILADELPHIA, PA 191523038

    Phone: (215) 332-5300

    Fax: (215) 332-5228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Organogenesis Inc. ($117).

Total Amount

$219

General + Research + Ownership

Payments

7

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2015-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150812006567IPodiatryPATBD
I20150812007124IPodiatryNJTBD

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
11721Removal of fingernails or toenails, 6 or more nails307123$0
11042Removal of skin and tissue, 20.0 sq cm or less25550$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19384$0
99214Established patient office or other outpatient visit, 30-39 minutes15669$0
99213Established patient office or other outpatient visit, 20-29 minutes12290$0
View full utilization report →

Insurance plans in this area (ZIP 19152)

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Provider's Procedures

DR. AMY DOUGHERTY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYPA11042Removal of skin and tissue first 20 sq cm or less6518

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: 1850295817View full group profile
NameSpecialtyState
P O D I A T R YPA
P O D I A T R YNJ
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YNJ
P O D I A T R YPA
P O D I A T R YPA
P O D I A T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMY DOUGHERTY (D.P.M.)'s NPI?
Yes. DR. AMY DOUGHERTY (D.P.M.) is listed with NPI 1184885881 in the public NPI dataset.
Is DR. AMY DOUGHERTY (D.P.M.) listed as active for patients and plans?
The listing shows DR. AMY DOUGHERTY (D.P.M.) as active in the NPI system.
What is DR. AMY DOUGHERTY (D.P.M.)'s specialty?
The listing groups DR. AMY DOUGHERTY (D.P.M.) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What area does DR. AMY DOUGHERTY (D.P.M.) serve?
DR. AMY DOUGHERTY (D.P.M.)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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