THOMAS PATRICK DOUGHERTY (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1043374515

THOMAS PATRICK DOUGHERTY (D.M.D.) is a healthcare provider. based in Wilmington, Delaware. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials D.M.D.. They hold a License No. G10000905 (DE). The NPI Number for THOMAS PATRICK DOUGHERTY (D.M.D.) is 1043374515

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS PATRICK DOUGHERTY (D.M.D.)
NPI
1043374515
Phone
(302) 239-2500
Address
5317 LIMESTONE RD
Enumeration Date
20 December 2006
Last Update Date
13 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022392500
Graduation Year
1978 (48 years ago)
PAC ID
8921178559
Professional Enrollment ID
I20080609000253
Address ID
DE198081252WI5317XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4 MAXILLOFACIAL SURGERY in DE

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Provider Addresses for THOMAS PATRICK DOUGHERTY (D.M.D.)

  • Wilmington Junior Academy, 3001, Millcreek Road, Breckenridge, Highland West, Wilmington, New Castle County, Delaware, 19808, United States

    WILMINGTON, DE 198081035

    Phone: (302) 239-2500

    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 5 Open Payments records for all available years, with a total value of $1,800.

Total Amount is formed as General ($0) + Research ($1,800) + Ownership ($0) = $1,800.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: DENTSPLY LLC ($1,800).

Total Amount

$1,800

General + Research + Ownership

Payments

5

Total payment records

General Amount

$0

General payments

Research Amount

$1,800

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DENTSPLY LLC$1,800
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: 2008-06-09

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
I20080609000253IMaxillofacial SurgeryDETBD

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
40800Simple drainage of abscess, cyst, or blood accumulation of mouth9591$0
99215Established patient office or other outpatient visit, 40-54 minutes5241$0
99205New patient office or other outpatient visit, 60-74 minutes4747$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
40801Complicated drainage of abscess, cyst, or blood accumulation of mouth2828$0
View full utilization report →

Insurance plans in this area (ZIP 19808)

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Reviews

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Frequently asked questions

Can I cross-check THOMAS PATRICK DOUGHERTY (D.M.D.) using NPI 1043374515?
NPI 1043374515 belongs to THOMAS PATRICK DOUGHERTY (D.M.D.); compare other details if you need extra assurance.
Would THOMAS PATRICK DOUGHERTY (D.M.D.) appear as active to a payer?
You can treat THOMAS PATRICK DOUGHERTY (D.M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is THOMAS PATRICK DOUGHERTY (D.M.D.)?
THOMAS PATRICK DOUGHERTY (D.M.D.) is associated with Oral and Maxillofacial Surgery (Dentist) in the directory — Clinical services aligned with this taxonomy classification.
Is THOMAS PATRICK DOUGHERTY (D.M.D.) associated with Wilmington?
Public fields place THOMAS PATRICK DOUGHERTY (D.M.D.) around Wilmington, Delaware. Always confirm the exact site before visiting.
Can I trust this NPI listing for THOMAS PATRICK DOUGHERTY (D.M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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