MR. ROBERT LEE DOUGHERTY (PA-C) – Medical Physician Assistant, NPI 1891787529

MR. ROBERT LEE DOUGHERTY (PA-C) is a healthcare provider. based in Casey, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085000498 (IL). The NPI Number for MR. ROBERT LEE DOUGHERTY (PA-C) is 1891787529

Main info

Male
Name
MR. ROBERT LEE DOUGHERTY (PA-C)
NPI
1891787529
Phone
(217) 382-4754
Address
4114 E US 40
Enumeration Date
18 August 2005
Last Update Date
9 July 2007
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

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Provider Addresses for MR. ROBERT LEE DOUGHERTY (PA-C)

  • 4114, US 40, Cumberland, Casey, Clark County, Illinois, 62420, United States

    CASEY, IL 624203113

    Phone: (217) 382-4754

    Fax: (217) 932-5191

    Type: Mailing

  • 412, Northwest 3rd Street, Casey, Clark County, Illinois, 62420, United States

    CASEY, IL 624201014

    Phone: (217) 932-4061

    Fax: (217) 932-5191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62420)

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Reviews

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Frequently asked questions

Is there an official ID for MR. ROBERT LEE DOUGHERTY (PA-C) in U.S. healthcare records?
The official identifier for MR. ROBERT LEE DOUGHERTY (PA-C) is NPI 1891787529.
Would MR. ROBERT LEE DOUGHERTY (PA-C) appear as active to a payer?
You can treat MR. ROBERT LEE DOUGHERTY (PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. ROBERT LEE DOUGHERTY (PA-C)?
MR. ROBERT LEE DOUGHERTY (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MR. ROBERT LEE DOUGHERTY (PA-C) located near Casey?
MR. ROBERT LEE DOUGHERTY (PA-C) currently maps to Casey, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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