Michael Dougherty, MD
NPI 1245590264 · Gastroenterology Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Dougherty, MD is a Gastroenterology Physician provider in Raleigh, NC (NPI 1245590264).
Provider details
- NPI number
- 1245590264
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT201715 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
282 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 71 | $113 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 57 | $222 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 39 | $62 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 | $147 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 28 | $54 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 124 | 45 |
| Pantoprazole Sodium | 80 | 24 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 60 | 60 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 28 | 28 |
| Carvedilol | 23 | — |
| Famotidine | 23 | — |
| Linaclotidebrand: Linzess | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,206 across 94 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3400 Spruce StPhiladelphia, PA 19104-4206Phone: (215) 662-2200
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Michael Dougherty's NPI number?
- Michael Dougherty's National Provider Identifier (NPI) is 1245590264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Dougherty's specialty?
- Michael Dougherty is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Dougherty located?
- Michael Dougherty's practice location on file with NPPES is 2417 Atrium Dr Ste 150, Raleigh, NC 27607-6673.
- What is Michael Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Michael Dougherty is (919) 791-2040.
- Does Michael Dougherty accept Medicare?
- Michael Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Dougherty's NPI active?
- Yes — Michael Dougherty's NPI (1245590264) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.