KATHLEEN C DOUGHERTY (M.D.) – Geriatric Psychiatry Physician, NPI 1811958895

KATHLEEN C DOUGHERTY (M.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in PSYCHIATRY, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD041845L (PA). The NPI Number for KATHLEEN C DOUGHERTY (M.D.) is 1811958895

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN C DOUGHERTY (M.D.)
NPI
1811958895
Phone
(717) 560-3782
Address
802 NEW HOLLAND AVE
Enumeration Date
30 March 2006
Last Update Date
19 August 2007

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
4587678982
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20060206000209
Address ID
PA170332360HE500XXDRXX300
Telehealth
Yes
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

1,871 PSYCHIATRY in PA

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Provider Addresses for KATHLEEN C DOUGHERTY (M.D.)

  • LG Health Physicians Behavioral Health, 802, New Holland Avenue, Lancaster, Lancaster County, Pennsylvania, 17602, United States

    LANCASTER, PA 176022163

    Phone: (717) 560-3782

    Fax: (717) 560-3787

    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 4 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Abbott Laboratories ($96).

Total Amount

$96

General + Research + Ownership

Payments

4

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$96
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: 2006-02-06

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
I20060206000209IPsychiatryPATBD

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 minutes250129$0
View full utilization report →

Insurance plans in this area (ZIP 17602)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

What number should I use to identify KATHLEEN C DOUGHERTY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1811958895 for KATHLEEN C DOUGHERTY (M.D.).
Is KATHLEEN C DOUGHERTY (M.D.)'s NPI status active today?
Active status means KATHLEEN C DOUGHERTY (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret KATHLEEN C DOUGHERTY (M.D.)'s specialty?
The extract shows Geriatric Psychiatry Physician for KATHLEEN C DOUGHERTY (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHLEEN C DOUGHERTY (M.D.)?
KATHLEEN C DOUGHERTY (M.D.) is associated with Lancaster, Pennsylvania in the same public data insurers reference.
Why is information missing for KATHLEEN C DOUGHERTY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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