Michelle Dougherty, M.D.
NPI 1396935433 · Neurology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Dougherty, M.D. is a Neurology Physician provider in Philadelphia, PA (NPI 1396935433).
Provider details
- NPI number
- 1396935433
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 232697 (MA)
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
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
66 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 38 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 17 | $139 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 | 11 | $526 |
Typical Medicare-allowed amounts for these services range $99–$526 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 199 | 58 |
| Levetiracetam | 170 | 53 |
| Donepezil Hcl | 125 | 48 |
| Gabapentin | 98 | 38 |
| Memantine Hcl | 69 | 25 |
| Lamotrigine | 59 | 16 |
| Quetiapine Fumarate | 59 | 18 |
| Levetiracetam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$87,046 across 10 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
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2016-05-06
Frequently asked questions
- What is Michelle Dougherty's NPI number?
- Michelle Dougherty's National Provider Identifier (NPI) is 1396935433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Dougherty's specialty?
- Michelle Dougherty is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michelle Dougherty located?
- Michelle Dougherty's practice location on file with NPPES is 219 N Broad St, Philadelphia, PA 19107-1519.
- What is Michelle Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Michelle Dougherty is (215) 762-6915.
- Does Michelle Dougherty accept Medicare?
- Michelle Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Dougherty's NPI active?
- Yes — Michelle Dougherty's NPI (1396935433) is active in the NPPES registry as of the last update on 2016-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.