CHARLES DOUGHERTY – Anesthesiology Physician, NPI 1194717926

CHARLES DOUGHERTY is a healthcare provider. based in Reston, Virginia. specializing in ANESTHESIOLOGY. They hold a License No. 0101233598 (VA). The NPI Number for CHARLES DOUGHERTY is 1194717926

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES DOUGHERTY
NPI
1194717926
Phone
(703) 471-0919
Address
11341 SUNSET HILLS RD
Enumeration Date
18 August 2005
Last Update Date
11 January 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
7036899000
Graduation Year
1990 (36 years ago)
PAC ID
7214998335
Group Practice PAC ID
2567361124
Professional Enrollment ID
I20041022000082
Address ID
VA201903204RE1850XPKWY400
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

1,337 ANESTHESIOLOGY in VA

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Provider Addresses for CHARLES DOUGHERTY

  • 11341, Sunset Hills Road, Reston, Virginia, 20190, United States

    RESTON, VA 201905205

    Phone: (703) 471-0919

    Type: Mailing

  • Reston Hospital Center, 1850, Town Center Parkway, Reston, Virginia, 20190, United States

    RESTON, VA 201903219

    Phone: (703) 471-0919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-01-08

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
I20041022000082IAnesthesiologyDCTBD
I20160108002321IAnesthesiologyVATBD

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
01402Anesthesia for procedure for total knee joint replacement4141$0
00670Anesthesia for extensive surgery on spine3937$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)3939$0
64488Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance2727$0
01214Anesthesia for total hip replacement2323$0
View full utilization report →

Insurance plans in this area (ZIP 20190)

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Provider's Procedures

CHARLES DOUGHERTY performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYVA00142Anesthesia for lens surgery4646
ANESTHESIOLOGYVA01402Anesthesia for open or endoscopic total knee joint replacement1919
ANESTHESIOLOGYVA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2323

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: 2567361124View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YMD

Reviews

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Frequently asked questions

Where can patients find CHARLES DOUGHERTY's NPI?
You can confirm CHARLES DOUGHERTY with NPI 1194717926; it appears in the national provider directory.
Is CHARLES DOUGHERTY active in the national directory?
CHARLES DOUGHERTY's public NPI profile is in an active state.
Can you summarize CHARLES DOUGHERTY's specialty in plain language?
Clinically, the directory lists CHARLES DOUGHERTY with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is CHARLES DOUGHERTY's primary listing?
We display Reston, Virginia because that is what the record indicates for CHARLES DOUGHERTY.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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