Thomas Dougherty, D.M.D.
NPI 1043374515 · Oral and Maxillofacial Surgery (Dentist) · Wilmington, DE
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Dougherty, D.M.D. is a Oral and Maxillofacial Surgery (Dentist) provider in Wilmington, DE (NPI 1043374515).
Provider details
- NPI number
- 1043374515
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G10000905 (DE)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
392 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Simple Drainage of Abscess, Cyst, Or Blood Accumulation of Mouth40800 | 120 | $185 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 59 | $168 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 58 | $216 |
| Complicated Drainage of Abscess, Cyst, Or Blood Accumulation of Mouth40801 | 48 | $274 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 34 | $109 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure, Each Additional 15 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 296 | 234 |
| Chlorhexidine Gluconate | 211 | 169 |
| Ibuprofen | 201 | 175 |
| Tramadol Hcl | 167 | 149 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 62 | 59 |
| Azithromycin | 26 | 20 |
| Clindamycin Hcl | 25 | 20 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-08-13
Frequently asked questions
- What is Thomas Dougherty's NPI number?
- Thomas Dougherty's National Provider Identifier (NPI) is 1043374515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Dougherty's specialty?
- Thomas Dougherty is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Thomas Dougherty located?
- Thomas Dougherty's practice location on file with NPPES is 5317 Limestone Rd, Wilmington, DE 19808-1252.
- What is Thomas Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Thomas Dougherty is (302) 239-2500.
- Does Thomas Dougherty accept Medicare?
- Thomas Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Dougherty's NPI active?
- Yes — Thomas Dougherty's NPI (1043374515) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.