MARY C DOUGHERTY – Internal Medicine Physician, NPI 1194794453
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Provider Addresses for MARY C DOUGHERTY
449 N HERMITAGE RD
HERMITAGE, PA 161483342
Phone: (724) 981-5613
Fax: (724) 981-4790
Type: Mailing
2151, Shenango Valley Freeway, Hermitage, Mercer County, Pennsylvania, 16148, United States
HERMITAGE, PA 161482586
Phone: (724) 981-5613
Fax: (724) 981-4790
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Novo Nordisk Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $14 |
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: 2010-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101201001116 | I | Internal Medicine | PA | 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 | 301 | 201 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 257 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 213 | 148 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 150 | 150 | $0 |
| G0008 | Administration of influenza virus vaccine | 61 | 59 | $0 |
Insurance plans in this area (ZIP 16148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | PA | 81002 | Urinalysis, manual test | 34 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| P S Y C H I A T R Y | PA | |
| - | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | PA | |
| Internal Medicine | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA |
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