WILLIAM M DOUGHERTY (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1174968440

WILLIAM M DOUGHERTY (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 0101267145 (VA). The NPI Number for WILLIAM M DOUGHERTY (MD) is 1174968440

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM M DOUGHERTY (MD)
NPI
1174968440
Phone
(757) 388-6200
Address
600 GRESHAM DR STE 1100
Enumeration Date
1 May 2013
Last Update Date
27 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
7576683483
Graduation Year
2013 (13 years ago)
PAC ID
3870720550
Group Practice PAC ID
5698675510
Professional Enrollment ID
I20190806003990
Address ID
VA235071904NO600XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

310 OTOLARYNGOLOGY in VA

Provider Addresses for WILLIAM M DOUGHERTY (MD)

  • 600 GRESHAM DR STE 1100

    NORFOLK, VA 235071904

    Phone: (757) 388-6200

    Fax: (757) 388-6201

    Type: Location

  • PO BOX 936

    NORFOLK, VA 235010936

    Phone: (757) 388-6200

    Fax: (757) 388-6201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $2,626.

Total Amount is formed as General ($2,626) + Research ($0) + Ownership ($0) = $2,626.

Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Synthes GmbH ($2,389).

Total Amount

$2,626

General + Research + Ownership

Payments

8

Total payment records

General Amount

$2,626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-05

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: 2019-08-06

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
I20180524000407IOtolaryngologyORTBD
I20190806003990IOtolaryngologyVATBD

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
99204New patient office or other outpatient visit, 45-59 minutes5656$0
99212Established patient office or other outpatient visit, 10-19 minutes4642$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
99214Established patient office or other outpatient visit, 30-39 minutes3028$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 23507)

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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: 5698675510View full group profile
NameSpecialtyState
Family PracticeVA
-TX
Internal MedicineVA
General Surgery, Critical Care (Intensivists)VA
Family PracticeVA
-VA
-WA
Nurse PractitionerVA
Internal MedicineVA
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

How do payers reference WILLIAM M DOUGHERTY (MD)?
For WILLIAM M DOUGHERTY (MD), use NPI 1174968440 as the unique 10-digit identifier.
Is WILLIAM M DOUGHERTY (MD) still an active registrant?
WILLIAM M DOUGHERTY (MD) carries an active NPI according to the public dataset.
How would a patient describe WILLIAM M DOUGHERTY (MD)'s focus?
For WILLIAM M DOUGHERTY (MD), the primary taxonomy reads as Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM M DOUGHERTY (MD)?
Travel planning: use Norfolk, Virginia as the reference point for WILLIAM M DOUGHERTY (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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