TIMOTHY PATRICK DOUGHERTY (MD) – Radiation Oncology Physician, NPI 1205498102

TIMOTHY PATRICK DOUGHERTY (MD) is a healthcare provider. based in Wexford, Pennsylvania. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MT217783 (PA). The NPI Number for TIMOTHY PATRICK DOUGHERTY (MD) is 1205498102

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY PATRICK DOUGHERTY (MD)
NPI
1205498102
Phone
(878) 332-4049
Address
12311 Perry Hwy
Enumeration Date
1 July 2019
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4123593400
Graduation Year
2019 (7 years ago)
PAC ID
7416285721
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20240828004628
Address ID
PA152124737PI314XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

419 RADIATION ONCOLOGY in PA

Provider Addresses for TIMOTHY PATRICK DOUGHERTY (MD)

  • 12311 Perry Hwy

    Wexford, PA 150908344

    Phone: (878) 332-4049

    Type: Location

  • 320 E North Ave

    Pittsburgh, PA 152124756

    Phone: (412) 359-3400

    Type: Location

  • 1 Nolte Dr

    Kittanning, PA 162017111

    Phone: (724) 543-8690

    Type: Location

  • 565 Coal Valley Rd

    Clairton, PA 150253703

    Phone: (412) 267-6900

    Type: Location

  • 4800 Friendship Ave Ste Gr508

    Pittsburgh, PA 152241722

    Phone: (412) 578-1923

    Type: Location

  • 160 Gallery Dr

    Canonsburg, PA 153172690

    Phone: (724) 260-7250

    Type: Location

  • 6321 Route 30

    Greensburg, PA 156019703

    Phone: (724) 671-1740

    Type: Location

  • 2626 Haymaker Rd

    Monroeville, PA 151463516

    Phone: (412) 856-7740

    Type: Location

  • 100 Medical Blvd

    Canonsburg, PA 153179762

    Phone: (724) 745-6100

    Type: Location

  • 2508 Myrtle St Ste 100

    Erie, PA 165022700

    Phone: (814) 452-5400

    Type: Location

  • 1301 Carlisle St

    Natrona Heights, PA 150651152

    Phone: (724) 226-7380

    Type: Location

  • 81 Wagner Rd

    Monaca, PA 150612329

    Phone: (724) 671-1540

    Type: Location

  • 1508, Hillside Drive, Downs Farms, Cherry Hill Township, Camden County, New Jersey, 08003-3504, United States

    CHERRY HILL, NJ 080033504

    Phone: (856) 745-6017

    Type: Mailing

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-2000

    Type: Location

  • PO BOX 645306

    PITTSBURGH, PA 152645251

    Phone: (844) 801-8400

    Type: Mailing

  • 314 E NORTH AVE

    PITTSBURGH, PA 152124737

    Phone: (412) 359-3400

    Fax: (412) 359-3981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $391.

Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: RefleXion Medical, Inc. ($213).

Total Amount

$391

General + Research + Ownership

Payments

3

Total payment records

General Amount

$391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2025-11-18

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
I20240828004628IRadiation OncologyPATBD
I20251118004584IRadiation OncologyNCTBD

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 15090)

Loading plans...

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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify TIMOTHY PATRICK DOUGHERTY (MD) with an NPI only?
You can start verification with NPI 1205498102 for TIMOTHY PATRICK DOUGHERTY (MD), then check state licensing separately.
Is TIMOTHY PATRICK DOUGHERTY (MD) listed as active for patients and plans?
The listing shows TIMOTHY PATRICK DOUGHERTY (MD) as active in the NPI system.
What is TIMOTHY PATRICK DOUGHERTY (MD)'s specialty?
The listing groups TIMOTHY PATRICK DOUGHERTY (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY PATRICK DOUGHERTY (MD)?
TIMOTHY PATRICK DOUGHERTY (MD)'s geographic hint is Wexford, Pennsylvania in our summary view.
How many locations tie to this NPI?
16 practice locations appear in the available data.

Similar Providers

SUSHIL BERIWAL (MD)

Radiation Oncology Physician
4800 Friendship Ave Ste Gr508
NPI: 1538139134

ROBERT J BERTOLI (M.D.)

Radiation Oncology Physician
12311 Perry Hwy
NPI: 1477601235

DR. CHIRAG SUDHIR SHAH (MD)

Radiation Oncology Physician
100 Medical Blvd
NPI: 1144429614

COLIN E. CHAMP (M.D.)

Radiation Oncology Physician
4800 FRIENDSHIP AVE STE GR508
NPI: 1003138868

AGH Radiation Oncology

Radiation Oncology Physician
12311 PERRY HIGHWAY
NPI: 1598169229

DR. RYAN VANDENBERG (MD)

Student in an Organized Health Care Education/Training Program
2508 MYRTLE ST
NPI: 1700314887