MICHAEL G DOHERTY (MD) – Diagnostic Radiology Physician, NPI 1730154261

MICHAEL G DOHERTY (MD) is a healthcare provider. based in Jackson, Tennessee. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301087295 (MI). The NPI Number for MICHAEL G DOHERTY (MD) is 1730154261

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL G DOHERTY (MD)
NPI
1730154261
Phone
(731) 240-1747
Address
31 SANDSTONE CIR
Enumeration Date
20 February 2006
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7316647395
Graduation Year
1999 (27 years ago)
PAC ID
8123915477
Group Practice PAC ID
6305893231
Professional Enrollment ID
I20230623001774
Address ID
TN383052080JA395XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,081 DIAGNOSTIC RADIOLOGY in TN

Provider Addresses for MICHAEL G DOHERTY (MD)

  • 31 SANDSTONE CIR

    JACKSON, TN 383052073

    Phone: (731) 240-1747

    Fax: (731) 240-1755

    Type: Location

  • Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495259746

    Phone: (616) 363-7339

    Fax: (616) 361-5828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 274 Open Payments records for all available years, with a total value of $159,287.

Total Amount is formed as General ($159,287) + Research ($0) + Ownership ($0) = $159,287.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Sirtex Medical Inc ($154,259).

Total Amount

$159,287

General + Research + Ownership

Payments

274

Total payment records

General Amount

$159,287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2023-06-23

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
I20060929000066IInterventional RadiologyMITBD
I20230623001774IDiagnostic RadiologyTNTBD

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
71045X-ray of chest, 1 view1,094907$0
71046X-ray of chest, 2 views321313$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes132126$0
74018X-ray of abdomen, 1 view8583$0
76937Ultrasonic guidance for blood vessel access7973$0
View full utilization report →

Insurance plans in this area (ZIP 38305)

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Provider's Procedures

MICHAEL G DOHERTY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYMI36556Insertion of central venous catheter for infusion, patient 5 years or older1212
INTERVENTIONAL RADIOLOGYMI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3434
INTERVENTIONAL RADIOLOGYMI77012Radiological supervision and interpretation of CT guidance for needle insertion6161

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: 6305893231View full group profile
NameSpecialtyState
-TN
Nurse PractitionerTN
Diagnostic RadiologyTN
Diagnostic Radiology, Interventional RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyMI

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Frequently asked questions

Does MICHAEL G DOHERTY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL G DOHERTY (MD) uses 1730154261.
Does the file indicate MICHAEL G DOHERTY (MD) is practicing under active NPI?
Directory data currently reports MICHAEL G DOHERTY (MD) as active.
What healthcare role does MICHAEL G DOHERTY (MD) hold?
Scheduling teams often label MICHAEL G DOHERTY (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does MICHAEL G DOHERTY (MD) serve?
MICHAEL G DOHERTY (MD)'s listing highlights Jackson, Tennessee; more addresses can appear in NPPES.
Is the information about MICHAEL G DOHERTY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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