DR. DOUGLAS STEWART DOCKERY (D.P.M.) – Podiatrist, NPI 1669433231

DR. DOUGLAS STEWART DOCKERY (D.P.M.) is a healthcare provider. based in Roanoke, Virginia. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 0103301043 (VA). The NPI Number for DR. DOUGLAS STEWART DOCKERY (D.P.M.) is 1669433231

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS STEWART DOCKERY (D.P.M.)
NPI
1669433231
Phone
(540) 632-5053
Address
602 JANETTE AVE SW
Enumeration Date
31 March 2006
Last Update Date
9 June 2020

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3049268637
Graduation Year
2000 (26 years ago)
PAC ID
9032357199
Group Practice PAC ID
7911948583
Professional Enrollment ID
I20141106000104
Address ID
WV253042320CH5504XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

85 PODIATRY in WV

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Provider Addresses for DR. DOUGLAS STEWART DOCKERY (D.P.M.)

  • 602, Janette Avenue Southwest, Old Southwest, West End, Roanoke, Virginia, 24016, United States

    ROANOKE, VA 240164816

    Phone: (540) 632-5053

    Type: Mailing

  • 401, Rogers Street, Princeton, Mercer County, West Virginia, 24740, United States

    PRINCETON, WV 247403636

    Phone: (304) 487-9442

    Fax: (330) 536-0069

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $2,351.

Total Amount is formed as General ($2,351) + Research ($0) + Ownership ($0) = $2,351.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Kerecis Limited ($650).

Total Amount

$2,351

General + Research + Ownership

Payments

82

Total payment records

General Amount

$2,351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2019-05-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20140701000819IPodiatryVATBD
I20141106000104IPodiatryWVTBD
I20190516001888IPodiatryOHTBD

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
11720Removal of fingernails or toenails, 1-5 nails446198$0
99214Established patient office or other outpatient visit, 30-39 minutes21998$0
99213Established patient office or other outpatient visit, 20-29 minutes215131$0
11721Removal of fingernails or toenails, 6 or more nails205109$0
73630X-ray of foot, minimum of 3 views13179$0
View full utilization report →

Insurance plans in this area (ZIP 24016)

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Provider's Procedures

DR. DOUGLAS STEWART DOCKERY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYVA11056Removal of 2 to 4 thickened skin growths3832
PODIATRYVA11720Removal of tissue from 1 to 5 finger or toe nails414279

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: 7911948583View full group profile
NameSpecialtyState
-WV
Vascular SurgeryOH
P O D I A T R YWV
P O D I A T R YWV
P O D I A T R YWV
P O D I A T R YWV
P O D I A T R YVA
P O D I A T R YPA
P O D I A T R YWV
P O D I A T R YWV

Reviews

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Frequently asked questions

What federal number belongs to DR. DOUGLAS STEWART DOCKERY (D.P.M.)?
The federal identifier for DR. DOUGLAS STEWART DOCKERY (D.P.M.) is NPI 1669433231.
Does this profile mean DR. DOUGLAS STEWART DOCKERY (D.P.M.) is currently active?
Yes — DR. DOUGLAS STEWART DOCKERY (D.P.M.) appears active in the national provider directory.
Does DR. DOUGLAS STEWART DOCKERY (D.P.M.) list a primary specialty?
If you are matching referrals, note Podiatrist for DR. DOUGLAS STEWART DOCKERY (D.P.M.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DOUGLAS STEWART DOCKERY (D.P.M.)?
The snapshot lists Roanoke, Virginia for DR. DOUGLAS STEWART DOCKERY (D.P.M.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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