ERIN M DOHERTY (PAC) – Physician Assistant, NPI 1780657080

ERIN M DOHERTY (PAC) is a healthcare provider. based in Glen mills, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA051322 (PA). The NPI Number for ERIN M DOHERTY (PAC) is 1780657080

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ERIN M DOHERTY (PAC)
NPI
1780657080
Phone
(484) 785-3376
Address
500 EVERGREEN DR
Enumeration Date
8 February 2006
Last Update Date
9 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4847853376
Graduation Year
2003 (23 years ago)
PAC ID
8325060734
Group Practice PAC ID
4385624931
Professional Enrollment ID
I20051229000249
Address ID
PA193421032GL500XXDRXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for ERIN M DOHERTY (PAC)

  • 500 EVERGREEN DR

    SUITE 20

    GLEN MILLS, PA 193421032

    Phone: (484) 785-3376

    Fax: (610) 358-6913

    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 108 Open Payments records for all available years, with a total value of $1,934.

Total Amount is formed as General ($1,934) + Research ($0) + Ownership ($0) = $1,934.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($445).

Total Amount

$1,934

General + Research + Ownership

Payments

108

Total payment records

General Amount

$1,934

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-12-29

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
I20051229000249IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes182162$0
17003Destruction of precancer skin growth, 2-14 growths15541$0
11102Biopsy of related skin growth, first growth8575$0
17000Destruction of precancer skin growth, 1 growth6860$0
17110Destruction of skin growth, 1-14 growths4945$0
View full utilization report →

Insurance plans in this area (ZIP 19342)

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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: 4385624931View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
-NJ
Physician AssistantPA
D E R M A T O L O G YPA
-PA
Physician AssistantPA
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

How is ERIN M DOHERTY (PAC) identified in CMS data?
CMS-hosted NPPES data lists ERIN M DOHERTY (PAC) with NPI 1780657080.
Can I rely on ERIN M DOHERTY (PAC) being an active provider?
As of the registry snapshot, ERIN M DOHERTY (PAC) is marked active.
What taxonomy line describes ERIN M DOHERTY (PAC)?
For research purposes, treat ERIN M DOHERTY (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ERIN M DOHERTY (PAC) on a map?
Expect Glen Mills, Pennsylvania as a primary anchor for ERIN M DOHERTY (PAC) unless the record lists multiple sites.
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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